Unusual cases of hyperparathyroidism
Vázquez-Quintana, E.; Haddock, L.; Aguiló, F.; Sotomayor, R.; Ramírez, M.; Vázquez-Plard, J.; Rabell, V.; Pagán Sáez, H.
Puerto Rico Health Sciences Journal 14(3): 227-232
1995
ISSN/ISBN: 0738-0658 PMID: 8588025 Document Number: 453510
The history, physical and radiologic findings, treatment and pathology in five unusual cases of hyperparathyroidism is presented. The hyperparathyroidism was caused by a large (113 grams) mediastinal adenoma in the first patient, who is alive 25 years after surgery. A parathyroid carcinoma with compression of the esophagus was documented in the second patient. This patient is alive and normocalcemic 23 years after surgical treatment. A third patient with hyperplasia returned with hypercalcemia 20 years postsurgery requiring reoperation. A fourth patient with advanced bone findings was found to have a parathyroid adenoma. The fifth case is a patient with tertiary hyperparathyroidism secondary to hypophosphatemic rickets.