Severe Hyperparathyroidism Versus Parathyroid Carcinoma A clinical dilemma
Journal Title: Sultan Qaboos University Medical Journal - Year 2010, Vol 10, Issue 1
Abstract
No clinical or laboratory data allow a preoperative diagnosis of parathyroid carcinoma and only occasionally does a defnitive fnding differentiate an adenoma from a carcinoma. We present a case of primary hyperparathyroidism presenting with severe elevation of parathyroid hormone and serum calcium as well as complications. We go on to discuss the case in the light of a literature review. Te severity of the elevation of the parathyroid hormone, other biochemical alterations, the presence of skeletal and renal complications and of a neck mass should alert the clinician to a possible parathyroid carcinoma. Radical surgery is the only effective therapy for parathyroid carcinoma, and should always be performed if a preoperative suspicion is entertained.
Authors and Affiliations
Mariam Al-Fadhli| Departments of Medicine, Mubarak Al-Kabeer Teaching Hospital, Jabriya, Kuwait, Suhail A R Doi| Departments of Medicine, Mubarak Al-Kabeer Teaching Hospital, Jabriya, Kuwait and School of Population Health, University of Queensland, Brisbane, Australia, Tomas Muttikkal| Departments of Radiology, Mubarak Al-Kabeer Teaching Hospital, Jabriya, Kuwait, Basel Al-Sumait| Departments of Surgery, Mubarak Al-Kabeer Teaching Hospital, Jabriya, Kuwait
Keywords
Related Articles
- EP ID EP13924
- DOI -
- Views 314
- Downloads 14
Causes of Stress and Coping Strategies Adopted by Undergraduate Health Professions Students in a University in the United Arab Emirates
Objectives: Tis study aimed to compare causes of stress and coping strategies adopted by a sample of undergraduate health-profession students at the Gulf Medical University, United Arab Emirates. Methods: An anonymous...
Optimum Anthropometric Criteria for Ideal Body Composition Related Fitness
Te three aims of this study were to establish equations for ideal body composition related ftness to be used by adults willing to gain optimum body composition related ftness; to predict the possible symmetrical major...
Darwin’s Tubercle
Photographs of the left ear of a 47-year-old man showing (A) a Darwin’s tubercle presenting as (B) a prominence of the posterior-superior helix (arrows). In addition, (C) a preauricular pit (asterisk) was observed.
Epidemiology, Outcomes and Coronary Angiography Findings of Patients Following Out-of-Hospital Cardiac Arrest A single-centre experience from Oman
Objectives: Out-of-hospital cardiac arrests (OHCAs) are a leading cause of death worldwide. However, data regarding the management and outcomes of affected patients are lacking in the Middle East. Te current study aimed...
Cost-Effectiveness of Wound Care: A concept analysis
This review aimed to analyse the concept of cost-effectiveness within the context of chronic wound care using Walker and Avant’s approach. The Cumulative Index to Nursing and Allied Health Literature® (EBSCO Information...