Korean J Bone Metab > Volume 19(1); 2012 > Article
Korean Journal of Bone Metabolism 2012;19(1):59-65.
A Case of Parathyroid Carcinoma Presenting Hyperparathyroidism that was Clinically Easy to Overlook
임상적으로 간과하기 쉬운 부갑상선암에 의한 부갑상선기능항진증 1예
이정훈1,구자원1,진상욱1,이상열1,최문찬1,전 숙12*,우정택12,김성운12,김진우12,김영설12
경희대학교 의과대학
Abstract
Parathyroid carcinoma is very rare in patients with primary hyperparathyroidism, only accounts for 1% to 2% of all cases. It is characterized by higher incidence of renal dysfunction, metabolic bone disease and gastrointestinal symptoms. Although the clinical manifestations of hyperparathyroidism are more severe in patients with parathyroid carcinoma when compared to those with those with parathyroid adenoma, it is difficult to differentiate carcinoma from adenoma without pathologic confirmation. To our knowledge, there have only been a few cases of hyperparathyroidism due to parathyroid carcinomas reported to date. Here, we report a case of 63-year-old woman developing osteoporosis, hypercalcemia and hypophosphatemia due to a parathyroid tumor and was diagnosed with parathyroid carcinoma postoperatively.
Key Words: Hypercalcemia, Osteoporosis, Parathyroid cancer, Primary hyperparathyroidism
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