Unusual cases of hyperparathyroidism.
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.
Vázquez-Quintana
E
E
Department of Surgery, University of Puerto Rico School of Medicine, San Juan 00936-5067.
Haddock
L
L
Aguiló
F
F
Sotomayor
R
R
Ramírez
M
M
Vázquez-Plard
J
J
Rabell
V
V
Pagán Sáez
H
H
D000236:Adenoma / Q000150:complications* / Q000378:metabolism / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000209:etiology*; D006962:Hyperparathyroidism, Secondary / Q000209:etiology*; D006965:Hyperplasia; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000378:metabolism / Q000601:surgery; D010280:Parathyroid Glands / Q000473:pathology; D010281:Parathyroid Hormone / Q000378:metabolism; D010282:Parathyroid Neoplasms / Q000150:complications* / Q000601:surgery; D016105:Parathyroidectomy; D012279:Rickets / Q000150:complications*
D010281:Parathyroid Hormone