Tumoral Calcinosis in Secondary Hyperparathyroidism

• Main Authors: Reinzi Luz S. Bautista, Ramon Antonio B. Lopa, Arsenio Claro A. Cabungcal, Anna Pamela C. Dela Cruz, Tom Edward N. Lo
• Format: Article
• Language: English
• Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2016-06-01
• Series: Philippine Journal of Otolaryngology Head and Neck Surgery
• Subjects: tumoral calcinosis, parathyroid, parathyroidectomy, thymectomy
• Online Access: https://pjohns.pso-hns.org/index.php/pjohns/article/view/319

Objective: To report a case of tumoral calcinosis from secondary hyperparathyroidism and to describe its surgical management. Methods: Study Design: Case report Setting:           Tertiary public university hospital Patient:           One Results: A 34-year old woman presented with progressively-enlarging bilateral upper extremity masses. Diagnostic tests revealed hyperfunctioning parathyroid glands. The patient underwent subtotal parathyroidectomy, right thyroid lobectomy with isthmusectomy, and transcervical thymectomy. Follow-up revealed marked decrease in parathyroid hormone, and progressive resolution of the tumoral calcinosis. Conclusion: Subtotal parathyroidectomy and transcervical thymectomy have a role in the management of tumoral calcinosis, and in this case led to excellent post-operative results. The  rare presentation of secondary hyperparathyroidism and intervention in this patient may have potential lessons for future management of similar cases. Keywords: tumoral calcinosis, parathyroid, parathyroidectomy, thymectomy