Abstract
A rare case of double lipoadenomas of parathyroid glands with hyperparathyroidism
is described. A 56-year-old woman was referred for management of diabetes. Work up
revealed: serum Calcium (Ca)=11.9 mg/dl, glomerular filtration rate (GFR)=103 ml/min/m2, parathyroid hormone (PTH)=60 pg/ml, Phosphorus=3.0 mg/dl, 25 hydroxy vitamin D (25 OH D)=16.5 ng/ml, 24 h urine Calcium=179 mg/day. Parathyroid sestamibi scan showed increased activity in the left thyroid
and right thyroid lobe. Single photon emission computed tomography demonstrated uptake
in inferior left and right thyroid lobes. Her serum calcium following successful bilateral
parathyroidectomy was 9.3 mg/dl. Pathology showed double parathyroid lipoadenomas.
After surgery, her serum Calcium and PTH normalized to 9.8 mg/dl and 32 pg/ml respectively.
Lipoadenoma has been described as a very rare lesion of the parathyroid gland and
is most commonly non-functional. PubMed search failed to reveal any case of hyperparathyroidism
due to double parathyroid lipoadenomas.
Key Indexing Terms
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Article info
Publication history
Accepted:
May 10,
2013
Received:
February 22,
2013
Footnotes
The author has no financial or other conflicts of interest to disclose.
Identification
Copyright
© 2013 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
