Acta Medica Medianae
Clinic of Oncology, Clinical Center Banja Luka
1 "12 beba" Street
Primary hyperparathyroidism – case report of a female patient with an advanced disease
Branislava Jakovljevic1, Gordana Grubor2, Aleksandar Jakovljevis3 and Predrag Grubor3
Clinic of Oncology, Clinical Center Banja Luka1
Internistička ambulanta “Grubor” Banja Luka2
Clinic of Orthopedics and Traumatology, Clinical Center Banja Luka3
Primary hyperparathyroidism is a result of increased and uncontrolled function of the parathyroid hormone caused by hyperfunction of one or more parathyroid glands.
The cause of hyperfunction of the parathyroid glands could be adenoma, hyperplasia, carcinoma. The leading sign of disease is hypercalcemia due to higher resorption of calcium from bones, decreased urinary elimination of calcium, and higher absorption of calcium in the bowels.
The paper presents the case report of a 41-year-old female patient treated in our hospital in February, 2003. She came to hospital in poor general condition with suspicion of multiple bone metastases. She explained that she felt unwell last four years.
After clinical, laboratory and radiological examination we found adenoma of the left parathyroid gland which was operated. Histologically, adenoma was confirmed.
After supportive and symptomatic therapy, one year after surgical treatment, the patient was back to normal daily activities without any signs of disease. Acta Medica Medianae 2009;48(2):52-54.
Key words: hypercalcemia, hyperparathyroidism, adenoma