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KMID : 0356620030180020214
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Journal of Korean Society of Endocrinology
2003 Volume.18 No. 2 p.214 ~ p.220
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A Case of Cystic Parathyroid Adenoma Presenting as Severe Bony Lesion
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Chon Suk
Kim Yeong-Hui
Park Ji-Yeong
Koh Gwan-Pyo
Park Cheol-Yeong
Kim Deog-Yoon
Woo Jeong-Taek
Kim Sung-Woon
Kim Jin-Woo
Kim Young-Seol
Koh Suck-Hwan
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Abstract
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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.
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KEYWORD
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Parathyroid neoplasms, Cysts, Adenoma, Hyperparathyroidism, Osteitis fibrosa cystica
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