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Acta Medica Medianae
Vol. 48, No2 , April, 2009
UDK 61
YU ISSN 0365-4478


Correspondence to:
Branislava Jakovljević

Clinic of Oncology, Clinical Center  Banja Luka

1 "12 beba"  Street 

Phone: +38765876102

E-mail: jakab@teol.net





Case report



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