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Advances in Palliative Medicine
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open access

Vol 11, No 2 (2012)
Case reports
Published online: 2013-03-15
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Advanced, lately diagnosed primary hyperparathyroidism in a patient mistakenly treated for multiple bone metastasis. A case report and review of the literature

Jacek Teodorczyk, Wojciech Cytawa, Bogna Brockhuis, Piotr Lass
Advances in Palliative Medicine 2012;11(2):77-81.

open access

Vol 11, No 2 (2012)
Case reports
Published online: 2013-03-15

Abstract

We report a case of 66-years-old woman mistakenly diagnosed as a metasases’ dissemination on a basis of mulitifocal skeleton lesion showed by 99mTc-MDP scanning, high serum calcium level and a vague breast tumour history. Additionally she suffered had humer and femur fractures. Immobilised and diagnosed as a cancer patient, she he was referred to palliative care. In hospice for the first time the suspicion of hyperparathyroidism was raised. When 99mTc-MIBI SPECT/CT scan revealed a parathyroid adenoma, also considering her biochemical parameters, she underwent the surgery. Following this her biochemical parameters normalised. This case illustrates a pitfall, which sometimes happens in this rare disease. A review of literature is provided.

Abstract

We report a case of 66-years-old woman mistakenly diagnosed as a metasases’ dissemination on a basis of mulitifocal skeleton lesion showed by 99mTc-MDP scanning, high serum calcium level and a vague breast tumour history. Additionally she suffered had humer and femur fractures. Immobilised and diagnosed as a cancer patient, she he was referred to palliative care. In hospice for the first time the suspicion of hyperparathyroidism was raised. When 99mTc-MIBI SPECT/CT scan revealed a parathyroid adenoma, also considering her biochemical parameters, she underwent the surgery. Following this her biochemical parameters normalised. This case illustrates a pitfall, which sometimes happens in this rare disease. A review of literature is provided.

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Keywords

parathyroid; hyperparathyroidism; 99mTc-MIBI; scintigraphy; metastases

About this article
Title

Advanced, lately diagnosed primary hyperparathyroidism in a patient mistakenly treated for multiple bone metastasis. A case report and review of the literature

Journal

Advances in Palliative Medicine

Issue

Vol 11, No 2 (2012)

Pages

77-81

Published online

2013-03-15

Page views

642

Article views/downloads

1622

Bibliographic record

Advances in Palliative Medicine 2012;11(2):77-81.

Keywords

parathyroid
hyperparathyroidism
99mTc-MIBI
scintigraphy
metastases

Authors

Jacek Teodorczyk
Wojciech Cytawa
Bogna Brockhuis
Piotr Lass

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