Naslov
From postpartum metastatic cancer to parathyroid adenoma : a case report

Autori
Bačun, Tatjana ; Kibel, Aleksandar ; Wertheimer, Vjekoslav ; Kibel, Dijana ; Degmečić, Dunja ; Pavić, Roman

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
6. hrvatski endokrinološki kongres s međunarodnim sudjelovanjem = 6th International scientific conference on endocrinology and metabolism : abstracts / - , 2013

Skup
Hrvatski endokrinološki kongres s međunarodnim sudjelovanjem (6 ; 2013)

Mjesto i datum
Poreč, Hrvatska, 09.10.2013. - 13.10.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
parathyroid adenoma; postpartum; metastasis

Sažetak
Primary hyperparathyroidism usually presents as hypocalcaemia in an otherwise asymptomatic patient, or alternatively with complications including nephrocalcinosis, osteoporosis or psychoneurologic disorders. However, primary hyperparathyroidism and parathyroid gland adenoma can represent a diagnostic and therapeutic challenge because it is often not recognized at an appropriate time point. A 36 year old female patient is presented who was examined in the Department of Orthopedic Surgery Outpatient Clinic because of pain in her right hip area and lumbar region. Following initial radiologic diagnostics, postpartum advanced metastatic cancer with multiple osteolytic lesions was suspected, due to which she was referred to the Internal medicine clinic for further diagnostic evaluation. After extensive investigation, it was determined that the underlying condition was a parathyroid gland adenoma and the patient was treated surgically with success. The report illustrates the necessity of taking this disease into consideration in differential diagnosis and workup of suspected oncologic patients and describes one of the many faces of parathyroid gland adenoma. Clinicians should note that parathyroid adenoma can mimic metastatic malignant disease, and should be familiar with appropriate diagnostic algorithms and tests that will lead to a timely diagnosis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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