Parathyroid adenoma with coexistent sarcoid granulomas. A hypercalcemic patient.
A 56-year-old woman had hypercalcemia. Clinical symptoms and chest roentgenograms were suggestive of sarcoidosis. Results of laboratory studies, however, were compatible with primary hyperparathyroidism. At surgical exploration of the neck, a parathyroid adenoma was found. Microscopically, sarcoid-like granulomas were present within the adenoma. The association between hypercalcemic sarcoidosis and primary hyperparathyroidism is reviewed, and the importance of this finding is discussed.
D000236:Adenoma / Q000150:complications*; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000209:etiology; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications*; D012507:Sarcoidosis / Q000150:complications*