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Parathyroid Carcinoma, Parathyroid Crisis and Hungry Bone Syndrome

Case Report, Volume 13 Issue 4 – October to December 2020

Authors

Dr Dayananda Babu R1, Dr Srijith Prasad T2. 1Professor & HOD, Department of Surgery, Sree Gokulam Medical College & Research Foundation, Trivandrum, Kerala, India. 2Junior resident, Department of Surgery, Sree Gokulam Medical College & Research Foundation, Trivandrum, Kerala, India.


Abstract

Parathyroid carcinoma is a rare endocrine malignancy accounting for <1% of cases of sporadic primary hyperparathyroidism (PHPT) and is associated with more severe clinical disease than its much more common benign counterpart, parathyroid adenoma. Clinical suspicion of a parathyroid cancer, therefore, should lead the surgeon to an aggressive initial operative approach as a complete resection of all malignant tissue at the time of initial surgery allows for the greatest likelihood of a cure. We report a case of parathyroid carcinoma induced parathyroid crisis with development of hungry bone syndrome in the postoperative period.


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