A @entity1 with severe @entity2741 and a palpable neck mass is presented. The highest @entity460 was 18.8 mg/dL. A left lower neck mass was felt on examination. The @entity825 was deviated to the right side on a chest film. A barium swallow demonstrated an indentation on the left side of the esophagus. An en-bloc resection of the mass including the thyroid lobe, the @entity10874 muscles, and the recurrent laryngeal nerve was done. The pathologic specimen revealed @entity3243 with dense fibrous septae, invasion of the capsule, and vascular invasion. The @entity1 is alive and without evidence of @entity2741 or recurrence of the disease 23 years after surgery, probably the longest survivor with @entity189 of the @entity3243 . @entity3243 should be suspected in any @entity1 with severe @entity2741 and a palpable mass. The best chance for cure is obtained by performing a wide surgical excision during the initial operation.

XXXX : diagnosis and management.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity825 :: ('MESH:D055090', 'Disease') :: ['trachea'] @entity2741 :: ('MESH:D006934', 'Disease') :: ['hypercalcemia'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium'] @entity10874 :: ('11171', 'Gene') :: ['strap'] @entity3243 :: ('MESH:D010282', 'Disease') :: ['parathyroid gland', 'Parathyroid carcinoma', 'parathyroid carcinoma']
@entity3243 :: (MESH:D010282,Disease) :: ['Parathyroid carcinoma']
