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Giant parathyroid adenoma presenting with a pathological left clavicular fracture: An extremely rare case report
- Source :
- International Journal of Surgery Case Reports. 75:311-316
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Introduction Parathyroid gland has a distinct physiologic and endocrinologic role in the body system. Primary hyperparathyroidism is the most common cause of hypercalcemia with a marked female dominance. It is characterized by hypercalcemia, hypophosphatemia and elevated parathyroid hormone. Parathyroid adenoma, parathyroid hyperplasia and parathyroid carcinoma form the differential diagnosis. Giant parathyroid adenomas are rarely symptomatic than non-giant parathyroid adenomas and parathyroid carcinoma. Case presentation A 41 years old previously healthy male patient with undetectable surgical and familial history presenting with left clavicle fracture by mild trauma. He was diagnosed for primary hyperparathyroidism after the finding of multiple bony lesions and elevated serum calcium and Parathyroid hormone. Preoperative imaging aided in diagnosis of a parathyroid lesion and secondary bone resorption lesions (brown tumors). After adequate medical treatment and preparation, selective right lower parathyroidectomy was held, and the final pathology came with a giant parathyroid adenoma. Conclusion Primary hyperparathyroidism should be suspected when dealing with a hypercalcemic patient having osteolytic bony lesions. Distinguishing Parathyroid adenoma from carcinoma is a challenging and essential preoperative step in planning and surgical procedure.
- Subjects :
- Parathyroidectomy
medicine.medical_specialty
endocrine system diseases
business.industry
medicine.medical_treatment
Parathyroid hormone
030230 surgery
medicine.disease
Bone resorption
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Parathyroid carcinoma
030220 oncology & carcinogenesis
Medicine
Surgery
Parathyroid gland
Radiology
Differential diagnosis
business
hormones, hormone substitutes, and hormone antagonists
Primary hyperparathyroidism
Parathyroid adenoma
Subjects
Details
- ISSN :
- 22102612
- Volume :
- 75
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery Case Reports
- Accession number :
- edsair.doi...........fcc06996826d3047c098b3f9e9d5395b