Spontaneous necrosis of parathyroid adenoma: biochemical and imaging follow-up for two years

doi:10.1136/pmj.76.892.96

Postgraduate Medical Journal 2000;76:96-98; doi:10.1136/pmj.76.892.96

Postgrad Med J 2000;76:96-98 ( February )

Short report

Spontaneous necrosis of parathyroid adenoma: biochemical and imaging follow-up for two years W B Chan^a, C C Chow^a, A D King^b, V T F Yeung^c, J K Y Li^a, W Y So^a, C S Cockram^a

^a Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, ^b Department of Radiology and Organ Imaging, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, ^c Department of Medicine, Our Lady of Maryknoll Hospital, Hong Kong.

Submitted 1 June 1999; Accepted 13 August 1999

We report a patient with a biochemically and radiologically confirmed parathyroid adenoma, which underwent spontaneous resolutionby necrosis. The patient was followed-up over the subsequent twoyears during which time the tumour and hypercalcaemia recurred.Sequential radiological and biochemical changes at the time ofdiagnosis, spontaneous necrosis and recurrence are documentedfully.

Keywords: hyperparathyroidism; hypocalcaemia; apoplexy

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