Multiple Primary Pathologies in a Patient with Primary Hyperparathyroidism

Ryner Jose DC. Carrillo1,2 and Precious Eunice R. Grullo2

1Department of Anatomy, College of Medicine and
Philippine General Hospital, University of the Philippines Manila
2Department of Otorhinolaryngology, College of Medicine and
Philippine General Hospital, University of the Philippines Manila

Co-existence of multiple pathologies affecting a patient poses a challenge in the diagnosis and management. A rare combination of early tongue cancer, maxillary fungal rhinosinusitis, calcified thyroid nodule and primary hyperparathyroidism in a 70-year-old female is described. The evidences used for disease probabilities based on diagnostic results and effectivess of treatment modalities are presented. The decision-making process to come up with an individualized management is discussed.

Key Words: parathyroid adenoma, fungal rhinosinusitis, maxillary calcification, calcified thyroid nodule, tongue cancer