Refractory hyperparathyroidism with a T3 bony lesion-differential diagnoses

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    Author
    Chan, DWC; Moir, D; Standish, R; Kotowicz, MA
    Date
    2018-03-01
    Source Title
    Oxford Medical Case Reports
    Publisher
    OXFORD UNIV PRESS
    University of Melbourne Author/s
    Kotowicz, Mark
    Affiliation
    Medicine, Western Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Chan, D. W. C., Moir, D., Standish, R. & Kotowicz, M. A. (2018). Refractory hyperparathyroidism with a T3 bony lesion-differential diagnoses. OXFORD MEDICAL CASE REPORTS, 2018 (3), pp.100-104. https://doi.org/10.1093/omcr/omx109.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253502
    DOI
    10.1093/omcr/omx109
    Abstract
    We report a case of severe hyperparathyroidism complicated by osteitis fibrosa cystica in an 83-year-old man post-myocardial infarction. The lesions were evident on magnetic resonance imaging only. A diagnosis of parathyroid carcinoma was considered due to clinical appearance of the parathyroid intraoperatively and the presence of an invasive T3 lesion mimicking metastatic disease. Differentiating parathyroid carcinoma from the benign causes at presentation can be difficult due to overlapping clinical, biochemical, radiological and histological features. The presence of bony lesions increases the diagnostic complexity of the case and demonstrates the challenges involved in the management of this disorder.

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