Doctor insights on:
Parathyroid Cancer In Children
Start with blood: A parathyroid tumor will announce itself as a high serum calcium on routine lab work with or without a neck mass that rises on swallowing. Without, the high calcium will prompt imaging studies in search of neck or nearby mass. This will be excised. 1 in 1000 people needs a parathyroid tumor removed but the large majority are benign and many parathyroid cancers are cured by the surger. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
PTH and CA high: Usually parathyroid cancer is seen with large parathyroid gland, very high PTH and very high blood calcium, but even then it may not be cancer. The surgeon can sometimes tell. Pathology is difficult to be certain. Only when parathyroid spreads to other areas can one be 100% sure it's cancer. It's rare. ...Read more
Malignancy of: Parathyroid glands are found in association with the thyroid gland. There are 4 glands situated on top of and below the thyroid gland. The glands function to produce the hormone parathormone which controls Ca++ metabolism. Occassionally one of the glands converts to a glandular adenoma which is more functional than the gland and more rarely the adenoma converts to malignancy which causes mets ...Read more
Parathyroid cancer: Sorry about your mother. Parathyroid cancer is quite a rare cancer. From 1988 - 2003, only 224 patients with parathyroid carcinoma were identified by the seer. Patients with parathyroid carcinomas are more likely to have symptoms, a neck mass, bone and kidney disease, increase calcium in the blood, and very high serum parathyroid hormone. Treatment is surgery. It is resistant to chemo or radiation. ...Read more
Blood: The diagnosis is made by a combination of elevated calcium and PTH (parathormone). These are blood tests. Sometimes vitamin d levels, phosphate and chloride levels are helpful. A twenty-four hour urine assay may be useful. Once the diagnosis is established you will probably have a sestamibi scan to localize the tumor and maybe an ultrasound or ct scan. ...Read more
Nodular lesion: There are 4 parathyroid glands. One each situated in upper and lower pole region of the thyroid. The glands which are soft and no larger than 3-4 mm are almost flat. The tumor is firm and round, and may expand the gland out. The tumors may or may not be symptomatic and based on overexpression of the parathyroid hormone. Should gland migrate say into mediastinum then imaging used to define. ...Read more
Both: Some of parathyroid tumors have no genetic bearing then you can call it bad luck, others hane genetic link as in men syndromes. ...Read more
High calcium: A parathyroid tumor can make too much parathyroid hormone, which will then elevate your calcium level. High calcium can lead to kidney stones, loss of bone (osteoporosis). Symptoms can include abdominal pain, constipation, fatigue, mood changes, confusion (if calcium becomes very high). In your age group, surgery to remove the parathyroid would be indicated. ...Read more
Parathyroid tumor - if you had one removed, will you have to take meds like if you removed your thyroid?
No: Unlike the thyroid, people generally are born with 4 parathyroid glands. When one of them is removed, the other glands are still there to do the work. ...Read more
Unlikely: The parathyroid glands are small and rarely give rise to rumors that can be felt in the neck. The best thing for you to do is have a doctor examine you and feel the lump then plan an appropriate work up. ...Read more
I had a parathyroid tumor by age 19. My father also had hyperparathyroidism. Should I be tested for MEN1?
You won't be satisfied until your MEN1 test is done. Hopefully all will be well.
Please keep me posted. ...Read more
2 DEXA scans, 2 yrs apart both tscore +3. 10.5 calcium on 3 bloodtests this year, tho varies. Pth of 25.7&31. Recent vit d of +96 brought down to 64. Parathyroid tumor?
Doesn't sound likeit: Sounds more like supplementation with vitamin d. Level of 60 may not be any better than 30-35. Several reasons for high T-score on dexa- good bones, arthritic changes (which can falsely elevate values), bone disorders. Discuss with your doc. ...Read more
[for prognosis; parathyroid tumor? X-ray unremarkable. Course of action) for 93 yr old African American female]. Sensipar doubled from 30mg to 60
Treatment fine: Sensipar (cinacalcet) decreases levels of parathyroid hormone (PTH), calcium, and phosphorous in the body. It is used to treat hyperparathyroidism for long-term dialysis for kidney disease. It is also employed to treat hypercalcemia in patients with cancer of the parathyroid gland, and those with overactive parathyroid glands not be treated surgically. Initial dose: 30 mg increases. Op to 180mg ...Read more
I have a TSH level of 22.38 and my T4 is 6.1 and Free T4 is 1.7. I had a portion of my thyroid removed last year during a parathyroid tumor removal.?
That seems like a very high number and the pituitary gland must be seen by xray to make sure it is of normal size.
Has your parathyroid gland been checked recently?
Please let me know what happens. ...Read more
25 year old woman, I have a possible parathyroid tumor; for the past 6 months I have been getting pain in my jaw which radiates down my throat to my chest, lasts 15 minutes. Scale 1-10, pain is a 8, sometimes 9. hurts to breathe, sit, stand or lay.
Need to examine: It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor. ...Read more
Ca12.0, h ionized ca, pth 350. Enlarged l thyroid lobe, parathyroid tumor. Malabsorption, bone pain. Trouble swallowing, strange sweet smell in nose?
You need to discuss: Your medical problems with your doctor and get a referral to an endocrinologist if needed. ...Read more
Many possibilities: See the answer given for symptoms of a brain tumor in teenagers. I think it is always best to talk to your primary care doctor if your child has some specific symptoms or signs you are concerned may be related to a brain tumor. This is a very uncommon diagnosis in children--and though possible---should be approached by your child's physician. ...Read more
Glioma: Gliomas make up 75% of childhood brain cancer. Three main types: astrocytomas (often in the cerebellum and usually curable with surgery), malignant gliomas (glioblastoma and anaplastic astrocytoma), and ependymomas. Another 15% of brain cancers in children are medulloblastomas - these occur almost exclusively in children, and are more invasive and difficult to treat. ...Read more
Parathyroid glands are found in association with the thyroid gland. There are 4 glands situated on top of and below the thyroid gland. The glands function to produce the hormone parathormone which controls Ca++ metabolism. Occassionally one of the glands converts to a glandular adenoma which is more functional than the gland and more rarely the adenoma converts to ...Read more
There are 4 parathyroid glands. One each situated in upper and lower pole region of the thyroid. The glands which are soft and no larger than 3-4 mm are almost flat. The tumor is firm and round, and may expand the gland out. The tumors may or may not be symptomatic and based on overexpression of the parathyroid hormone. Should gland migrate say into mediastinum then ...Read more