Primary Hyperparathyroidism: a Giant and Unusual Location of Parathyroid Adenoma

作者

Zafer Pekkolay¹ , Hüsna Saraçoğlu¹ , Mehmet Turgut¹ , Mehmet Serdar Değirmenci¹ , Alpaslan Kemal Tuzcu¹

1. Dicle University, School of Medicine, Department of Endocrinology, Diyarbakır, Turkey

会议/活动

2.Dicle Dahiliye Kongresi, September 2022 (虚拟会议)

海报摘要

Aim: Solitary functioning parathyroid adenomas account for up to 90 percent of primary hyperparathyroidism. Parathyroid adenoma can sometimes be in unusual localization. Hypercalcemia was detected in the blood biochemistry of a 42-year-old woman who complained of nausea and vomiting. In the evaluation, a diagnosis of primary hyperparathyroidism was made. Labs: Calcium: 13,8 (8,8-10,6) mg/dl, Phosphorus: 2,7(2,5-4,5) mg/dl, Parathormone 404,3 (14-72) ng/L Neck Ultrasound: Giant parathyroid adenoma on the left of the neck Clinical course: 3000 ml/day saline and furosemide 40 mg/day were given for treating hypercalcemia. Localization was confirmed by parathyroid scintigraphy and the calcium level was reduced to 11,6 mg/dl with intravenous ibandronate. She was referred to surgery for parathyroid adenomectomy. Conclusion: Ectopic parathyroid adenoma may be localized in the thymus, carotid sheath, and retro-esophageal. Detailed neck ultrasonography makes it easier to find parathyroid adenoma.

关键词

Primary hyperparathyroidism, Parathyroid adenoma, Giant, Unusual location

研究领域

Medicine

参考文献

1. Clark Glasgow, Eunice Y C Lau, Luigi Aloj, Ines Harper, Heok Cheow, Tilak Das, Laurence Berman, Andrew S Powlson, Waiel A Bashari, Benjamin G Challis, Alison Marker, Penelope Moyle, Isra Ahmed Mohamed, Nadia Schoenmakers, Jonathan Broomfield, Sue Oddy, Carla Moran, Mark Gurnell, Piyush Jani, Liam Masterson, Brian Fish, Ruth T Casey, An Approach to a Patient With Primary Hyperparathyroidism and a Suspected Ectopic Parathyroid Adenoma, The Journal of Clinical Endocrinology & Metabolism, Volume 107

基金

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补充材料

暂无数据

附加信息

利益冲突

No competing interests were disclosed.

数据可用性声明

The datasets generated during and / or analyzed during the current study are available from the corresponding author on reasonable request.

知识共享许可协议

Copyright © 2022 Pekkolay et al. This is an open access work distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.