Long‐standing hypercalcemia in a 78‐years old woman. Issue 4 (24th February 2021)

• Record Type: Journal Article
• Authors: Kiriakopoulos, Andreas; Linos, Dimitrios
• Is Part Of: Clinical case reports. Volume 9:Issue 4(2021)
• Page Start: 2492
• Page End: 2493
• Publication Date: 2021-02-24
• Subjects: neck exploration -- neck U/S -- parathyroid adenoma -- parathyroidectomy -- primary hyperparathyroidism -- sesta‐MIBI scanning; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.3994
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract: A 78 years‐old woman was found with worsening hypercalcemia, osteopenia and memory loss during the past 2 years. Multiple, repeated imaging studies failed to reveal the etiology of the primary hyperparathyroidism. Bilateral neck exploration revealed a 4.5 × 2.3 cm right superior parathyroid adenoma in an ectopic position. Abstract : Primary hyperparathyroidism is the most common cause of hypercalcemia. Negative imaging studies neither exclude the diagnosis nor contraindicate the operative approach. Bilateral 4‐gland exploration offers the best chance of cure in this setting.