Parathyroid carcinoma

Departments of 1. Radiology and 2. Nuclear Medicine Ministry of Health, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey, 3. Department of Radiology, Ministry of Health, Mersin Women’s and Children’s Hospital, Mersin, Turkey, 4. Department of Nuclear Medicine, Ministry of Health, Mersin State Hospital, Mersin, Turkey Background: A 32-year-old woman with palpable neck mass and clinical presentation of hypercalcemic crisis and primary hyperparathyroidism was referred to radiology and nuclear medicine departments for imaging studies. The patient’s medical history didn’t reveal any findings related to neck irradiation, family history of parathyroid or calcium problems, nor any organ cancers. The laboratory tests showed severe hypercalcemia, a 7-fold increase in serum PTH concentration, high creatinine and normal phospate serum levels.