Publication: Primary hyperparathyroidism due to cystic parathyroid adenoma: A case report
Issued Date
2007-12-01
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ISSN
01252208
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2-s2.0-61549084006
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.90, No.SUPPL 2 (2007), 79-84
Suggested Citation
Nuntakorn Thongtang, Nattachet Plengvidhaya, Raweewan Lertwattnarak, Thavatchai Peepatdit Primary hyperparathyroidism due to cystic parathyroid adenoma: A case report. Journal of the Medical Association of Thailand. Vol.90, No.SUPPL 2 (2007), 79-84. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/24637
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Title
Primary hyperparathyroidism due to cystic parathyroid adenoma: A case report
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Abstract
Raw Cystic parathyroid adenoma is a rare cause of primary hyperparathyroidism. The authors report one case of cystic parathyroid adenoma, who presented with progressive right hip pain for one year. The patient had severe hypercalcemia at the first presentation and was misdiagnosed as having metastatic cancer at first. An iliac bone biopsy was performed and showed a giant cell tumor. Parathyroid hormone level was evaluated later and was found to be high, 1,555 pg/ml (15-65 pg/ml). An MRI study of the neck was done and revealed a cystic mass 38x36x40 mm in diameter just below the left lower pole of the thyroid gland. Tc-99m MIBI scan demonstrated increase and retention of radioactivity uptake at the same area. Hyperfunctioning parathyroid gland was considered. Parathyroidectomy was done and histopathology revealed cystic parathyroid adenoma. Serum calcium was normal and hip pain was markedly improved after the surgery.