A Case of Cystic Parathyroid Adenoma Presenting as Severe Bony Lesion.
- Author:
Suk CHON
1
;
Young Hee KIM
;
Ji Young PARK
;
Kwan Pyo KO
;
Cheol Young PARK
;
Deog Yoon KIM
;
Jeong Taek WOO
;
Sung Woon KIM
;
Jin Woo KIM
;
Young Seol KIM
;
Suck Hwan GO
Author Information
1. Department of Endocrinology & Metabolism, College of Medicine, Kyung Hee University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Parathyroid neoplasms;
Cysts, Adenoma;
Hyperparathyroidism;
Osteitis fibrosa cystica
- MeSH:
Bone Resorption;
Femur;
Hip;
Humans;
Hypercalcemia;
Hyperparathyroidism;
Hyperparathyroidism, Primary;
Male;
Middle Aged;
Osteitis Fibrosa Cystica;
Parathyroid Neoplasms*;
Plasma;
Radionuclide Imaging;
Thyroid Gland;
Ultrasonography
- From:Journal of Korean Society of Endocrinology
2003;18(2):214-220
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A cystic parathyroid adenoma is rare. A case of primary hyperparathyroidism, with the cystic formation of a parathyroid adenoma and a severe bony lesion, is reported. A 52-year-old male was admitted due to pain in both hips and for evaluation of hypercalcemia. The plasma level of the intact parathyroid hormone(iPTH) was elevated to 1424pg/mL. Ultrasonography and the computed tomography revealed a parathyroid cyst on the left thyroid lower pole. Parathyroid scintigraphy detected a parathyroid adenoma. A radiograph showed a subperiosteal bone resorption on the phalanges, and a brown tumor(osteitis fibrosa cystica) on the femur shaft was noted. A surgical excision of the parathyroid adenoma was performed. The PTH level in the cystic fluid was increased. A histological examination confirmed a cystic parathyroid adenoma. The PTH level was normalized after the operation.
