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We report the clinical case of a 57 years-old female with Multi- nodular Goiter (BMN) grade IV-V and giant that had produced a bilateral recurrential palsy by compression and a near total glotic stenosis. The acute dyspnea of the patient required a tracheostomy and later we performed a total thyroidectomy with AP diagnosis of nodular hyperplasia. There were not complications after the surgery.The giant goiters can a!fect the airway seriously. Symptoms and imaging tests are usefull for diagnosis and the first treatment is surgery in these cases.

A rare case of synchronous folicular carcinoma and primary hyperparathyroidism is reported for a 43- years old female without interesting antecedents. Our patient suffered light hypercalcemias but notorious osteomuscular, lithiasis and digestive clinical symptoms. The presurgical imaging tests suggested the presence of a parathyroid adenoma with Fine Needle Aspiration Biopsy (F.N.A.B.) of right coloid goiter, so that we performed an right hemithyroidectomy at first place. The pathology report was parathyroid adenoma synchronously with folicular carcinoma. A few weeks after the initial surgery we completed the intervention by a left hemithyroidectomy that not showed another tumoral focus. In the postsurgical period a transitory hypocalcemia was noticed and required treatment with endovenous and oral calcium aport. Finally, the check-ups...

The coexistence of primary hyperparathyroidism and sarcoidosis is very uncommon in the literature being still unknown the mechanism of such association. A case of a 37 year-old male is reported who presented hypercalcemia that was not corrected with a steroid test. Besides his pulmonary illness a parathyroid lower left adenoma was also detected. After removal of the adenoma, the calcium and para thormon (PTH) levels were normalised with a good clinical evolution. A literature review respecting this association is presented.