Publicado

2017-07-01

Hepatic metastasis of a parathyroid carcinoma treated with intra-arterial embolization

Metástasis hepática de un carcinoma de paratiroides tratada con embolización intraarterial

DOI:

https://doi.org/10.15446/revfacmed.v65n3.55522

Palabras clave:

Parathyroid Cancer, Hypercalcemia, Therapeutic Embolization. (en)
Hipercalcemia, Cáncer paratiroideo, Embolización terapéutica. (es)

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Autores/as

  • Angélica María González-Clavijo Clínica Fundadores - Bogotá D.C. - Colombia.
  • Luis Felipe Fierro-Maya Instituto Nacional de Cancerología - Bogotá D.C. - Colombia.
  • Fabián Neira Clínica Fundadores - Bogotá D.C. - Colombia.
  • Oscar Guevara Universidad Nacional de Colombia - Bogotá Campus - Faculty of Medicine - Department of Surgery - Bogotá D.C. - Colombia.

This paper reports the case of a patient with parathyroid carcinoma and metastatic parathyroid carcinoma in the liver, as well as persistent hypercalcemia resistant to the management with zoledronic acid and cinacalcet.

The patient was treated with intra-arterial embolization using polyvinyl alcohol microspheres in the right hepatic artery, achieving an excellent biochemical control after the intervention.

Se reporta el caso de una paciente con carcinoma de paratiroides metastásico al hígado con hipercalcemia de muy difícil control pese a manejo con ácido Zoledrónico y Cinacalcet. La paciente fue llevada a embolización intraarterial con microesferas de alcohol polivinílico de la arteria hepática derecha, con lo que se obtuvo un excelente control bioquímico después de la intervención.

Referencias

Ruda JM, Hollenbeak CS, Stack BJ Jr. A systematic review of the diagnosis and treatment of primary hyperparathyroidism from 1995 to 2003. Otolaryngol Head Neck Surg. 2005;132(3):359-72.

http://doi.org/dkxm69.

De Quervain F. Parastruma maligna aberrata. Deutsche Zeitschrift für Chirurgie. 1909;100(1):334-53. http://doi.org/brqbvp.

Hundahl S, Fleming I, Fremgen A, Menck H. Two hundred eighty-six cases of parathyroid carcinoma treated in the U.S. between 1985-1995: a National Cancer Data Base Report. The American College of Surgeons Commission on Cancer and the American Cancer Society. Cancer. 1999;86(3):538-44.

Van Der Zwan JM, Mallone S, Van Dijk B, Bielska-Lasota M, Otter R, Foschi R, et al. Carcinoma of endocrine organs: results of the RARECARE project. Eur J Cancer. 2012;48(13):1923-31. http://doi.org/f2kbsf.

Hakaim AG, Esselstyn CB. Parathyroid carcinoma: 50-year experience at The Cleveland Clinic Foundation. Cleve Clin J Med. 1993;60(4):331-5.

McClenaghan F, Qureshi Y. Parathyroid cancer. Gland Surg. 2015;4(4):329-38. http://doi.org/b4xb.

Wei CH, Harari A. Parathyroid carcinoma: update and guidelines for management. Curr Treat Options Oncol. 2012;13(1):11-23. http://doi.org/b4xc.

Duan K, Mete O. Parathyroid carcinoma: diagnosis and clinical implications. Turkish J Pathol. 2015;3:80-97. http://doi.org/b4xd.

Bae JH, Choi HJ, Lee Y, Moon MK, Park YJ, Shin CS, et al. Preoperative predictive factors for parathyroid carcinoma in patients with primary hyperparathyroidism. J Korean Med Sci. 2012 Aug;27(8):890-5. http://doi.org/f35d9d.

Levin KE, Galante M, Clark OH. Parathyroid carcinoma versus parathyroid adenoma in patients with profound hypercalcemia. Surgery. 1987;101(6):649-60.

Udelsman R, Donovan PI. Remedial parathyroid surgery: changing trends in 130 consecutive cases. Ann Surg. 2006;244(3):471-9. http://doi.org/fwftbs.

Kunstman JW, Kirsch JD, Mahajan A, Udelsman R. Clinical review: Parathyroid localization and implications for clinical management. J Clin Endocrinol Metab. 2013;98(3):902-12. http://doi.org/b4xf.

Favia G, Lumachi F, Polistina F, D’Amico DF. Parathyroid carcinoma: sixteen new cases and suggestions for correct management. World J Surg. 1998;22(12):1225-30.

Dubay JR, Patil V, Rickson N, Morrison A, Vesely DL. Hypercalcemia secondary to parathyroid hormone secretion from metastatic lesions in liver. Med Case Stud. 2012;3(1):1-3. http://doi.org/b4xv.

Cohn K, Silverman M, Corrado J, Sedgewick C. Parathyroid carcinoma: the Lahey Clinic experience. Surgery. 1985;98(6):1095-100.

Artinyan A, Guzman E, Maghami E, Al-Sayed M, D’Apuzzo M, Wagman L, et al. Metastatic parathyroid carcinoma to the liver treated with radiofrequency ablation and transcatheter arterial embolization. J Clin Oncol. 2008;26(24):4039–41. http://doi.org/czsc54.

Lee E, Leon-Pachter H, Sarpel U. Hepatic arterial embolization for the treatment of metastatic neuroendocrine tumors. Int J Hepatol. 2012;2012:1-8. http://doi.org/fzkswm.

Macedo D, Amaral T, Fernandes I, Sousa AR, Costa AL, Távora I, et al. The treatment of liver metastases in patients with neuroendocrine tumors in 2012. ISRN Hepatol. 2013;2013:1-9. http://doi.org/b4xj.

Artinyan A, Nelson R, Soriano P, Chung V, Retseck J, Reynolds J, et al. Treatment response to transcatheter arterial embolization and chemoembolization in primary and metastatic tumors of the liver. HPB (Oxford). 2008;10(6):396-404. http://doi.org/dc928t.

Lewandowski RJ, Geschwind JF, Liapi E, Salem R. Transcatheter intraarterial therapies: rationale and overview. Radiology. 2011;259(3):641-57. http://doi.org/fgp2ff.

Tarver D, Birch S. Case report: life-threatening hypercalcaemia secondary to pancreatic tumour secreting parathyroid hormone-related protein--successful control by hepatic arterial embolization. Clin Radiol. 1992;46(3):204-5.

González A, Fierro-Maya F, Neira F. Póster: Embolizacion exitosa de metástasis hepáticas de un carcinoma de paratiroides. Revista Colombiana de Endocrinología, Diabetes y Metabolismo. 2015;2(2):81-2.

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Cómo citar

González-Clavijo, A. M., Fierro-Maya, L. F., Neira, F., & Guevara, O. (2017). Metástasis hepática de un carcinoma de paratiroides tratada con embolización intraarterial. Revista De La Facultad De Medicina, 65(3), 521-524. https://doi.org/10.15446/revfacmed.v65n3.55522

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Derechos de autor 2017 Revista de la Facultad de Medicina

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Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.

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