caa a22 4500 445309377 CHVBK 20180317142624.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00404-011-1903-0 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1903-0 Coexistent parathyroid adenoma and thyroid papillary carcinoma in pregnancy [Elektronische Daten] [Kristin Baumann, Jan Weichert, Manuela Krokowski, Klaus Diedrich, Constanze Banz-Jansen] Background: Primary hyperparathyroidism in pregnant women is a rare antenatal complication. Maternal symptoms include nephrolithiasis, bone disease, pancreatitis, hyperemesis, muscle weakness, mental status changes, and hypercalcemic crisis. Fetal complications comprise intrauterine growth retardation, low birth weight, preterm delivery, intrauterine fetal death, postpartum neonatal titanic crisis, and permanent hypoparathyroidism. Case: A 23-year-old gravida was referred to our clinic with severe hyperemesis and weight loss at 32 gestational weeks. She was diagnosed with primary hyperparathyroidism because of parathyroid adenoma and treated with surgery where a synchronous thyroid papillary carcinoma was detected. After right parathyroidectomy and right subtotal lobectomy of the thyroid, the patient was stable and laboratory and clinical findings normalized. The fetus' state was monitored via reassuring non-stress cardiotocography and repeated sonographic exams until birth. Delivery was induced at 35weeks of gestation because of preeclampsia. Conclusion: Parathyroid adenoma in pregnancy is a rare maternal condition with potential impact on the advancing pregnancy. Generally, a surgical approach is recommended with thorough inspection of the thyroid gland so that any irregular structure might be removed during the same surgical intervention for diagnostic reasons. In this reported case, a coexistent papillary carcinoma of the thyroid was detected accidentally and removed successfully. Springer-Verlag, 2011 Parathyroid adenoma nationallicence Pregnancy nationallicence Thyroid cancer nationallicence Baumann Kristin Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Weichert Jan Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Krokowski Manuela Department for Pathology, University of Schleswig-Holstein, Campus Lübeck, Lübeck, Germany aut Diedrich Klaus Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Banz-Jansen Constanze Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 91-94 0932-0067 284:1<91 2011 284 404 https://doi.org/10.1007/s00404-011-1903-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1903-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Baumann Kristin Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Weichert Jan Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Krokowski Manuela Department for Pathology, University of Schleswig-Holstein, Campus Lübeck, Lübeck, Germany aut NATIONALLICENCE 700 1- Diedrich Klaus Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Banz-Jansen Constanze Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 91-94 0932-0067 284:1<91 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer