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Remission of Primary Hyperparathyroidism Following Fine-Needle Aspiration Biopsy: A Case Report and Review of the Literature
- Source :
- AACE Clinical Case Reports, Vol 7, Iss 1, Pp 75-79 (2021), AACE Clinical Case Reports
- Publication Year :
- 2021
-
Abstract
- Background Spontaneous or fine-needle aspiration biopsy (FNAB)-induced remission of primary hyperparathyroidism (PHPT) is an extremely rare and generally transient phenomenon. Methods A 40-year-old woman with a history of recurrent kidney stones was diagnosed with PHPT (serum calcium, 14.2 mg/dL; parathyroid hormone [PTH], 380 pg/mL). Ultrasonography and scintigraphy findings were consistent with a left enlarged parathyroid. Ultrasound-guided-FNAB cytology of the lesion did not confirm a parathyroid nature. However, levels of PTH within the needle-washing fluid were elevated. Results After few days, there was evidence of biochemical remission of the hypercalcemia (calcium, 8.1 mg/dL), and at subsequent follow-up visits, the enlarged parathyroid showed progressive shrinkage with eucalcemia and normalized PTH levels throughout 12 months of follow-up. Conclusions Rarely, remission of PHPT may occur after ultrasound-guided-FNAB performed on a hyperfunctioning parathyroid lesion.
- Subjects :
- PHPT, primary hyperparathyroidism
medicine.medical_specialty
endocrine system diseases
Urology
Parathyroid hormone
Case Report
030209 endocrinology & metabolism
Scintigraphy
Diseases of the endocrine glands. Clinical endocrinology
Lesion
03 medical and health sciences
remission
0302 clinical medicine
Cytology
Biopsy
fine-needle aspiration biopsy
medicine
PTH, parathyroid hormone
primary hyperparathyroidism
medicine.diagnostic_test
US, ultrasonography
business.industry
General Medicine
RC648-665
medicine.disease
PHPT
Fine-needle aspiration
030220 oncology & carcinogenesis
FNAB, fine-needle aspiration biopsy
Kidney stones
medicine.symptom
business
hormones, hormone substitutes, and hormone antagonists
Primary hyperparathyroidism
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- AACE Clinical Case Reports, Vol 7, Iss 1, Pp 75-79 (2021), AACE Clinical Case Reports
- Accession number :
- edsair.doi.dedup.....8777125cc13112421eef0d38ac8d3446