Research Article

Parathyroid Gland Involvement by Thyroid Cancer: Results from a Large Series of Thyroidectomies Performed in Two Italian University Hospitals and Review of the Literature

Table 1

Personal and histological characteristics of the 10 patients recruited in the present study.

ā€‰Patient 1Patient 2Patient 3Patient 4Patient 5Patient 6Patient 7Patient 8Patient 9Patient 10

SexFMFFFFMFFM
Age (yrs)58445476343866656847
Primary tumor histotypeFVPTCTall cell PTCClassic PTCClassic PTCFVPTCClassic PTCClassic
PTC
FVPTCClassic
PTC
Classic
PTC
Primary tumor size (cm)1.53.31.62.33 2.31.92.83.22.5
Extrathyroid invasion of tissues other than parathyroidNoYesNoYesNoYesNoYesYesYes
Lymph node metastasesYesYesNoNoNoYesNoNoNoNo
Distant metastasesNoNoNoNoNoNoNoNoNoNo
Patterns of parathyroid involvementPattern BPattern APattern A + BPattern APattern APattern A + BPattern APattern APattern APattern
A + B
Stage*III (pT3N1aM0)I (pT3N1aM0)III (pT3N0M0)III (pT3N0M0)I (pT3N0M0)I (pT3N1aM0)III (pT3N0M0)III (pT3N0M0)III (pT3N0M0)III (pT3N0M0)
RecurrenceNoNoNoNoNoNoNoNoNoNo
Follow-up time (yrs)31064529817

FVPTC: follicular variant of papillary thyroid carcinoma; PTC: papillary thyroid carcinoma; Pattern B: extension of thyroid malignancy into the parathyroid, in which cancer nests are separated from by a pseudocapsule; Pattern C: true thyroid cancer metastasis within the parathyroid, with no evidence of continuity from the primary thyroid tumor. *Based on AJCC/International Union against Cancer (AJCC/UICC) classification system [11].