Open AccessMultiple concurrent atypical parathyroid adenomas: a rare occurrence
Author(s) -
Jack Faulkner,
Kiran Varadharajan,
Natasha Choudhury
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-234421
Subject(s) - medicine , parathyroid adenoma , parathyroid carcinoma , parathyroid neoplasm , parathyroidectomy , primary hyperparathyroidism , adenoma , rare disease , hyperparathyroidism , pathology , parathyroid hormone , disease , calcium
We present a case of an 80-year-old patient with three concurrent multiple atypical parathyroid adenomas. The patient was managed with bilateral parathyroid exploration and concurrent parathyroidectomy. Postoperative recovery was uneventful. Atypical parathyroid adenomas are a rare entity that are clinically difficult to distinguish from parathyroid carcinoma. Histological characteristics are similar however atypical adenomas lack complete capsular or vascular invasion and cannot be considered malignant. All reported cases of atypical parathyroid adenoma are solitary lesions. We present the first case of multiple concurrent atypical parathyroid adenomas.