Atypical parathyroid adenoma with severe bone manifestations in early adolescence

BMJ Case Rep. 2024 Apr 11;17(4):e259760. doi: 10.1136/bcr-2024-259760.

Abstract

This is a case of primary hyperparathyroidism in a female teenager with multiple fractures and severe bone manifestations. The histopathology revealed atypical parathyroid adenoma, an exceedingly rare form of hyperparathyroidism; its main differential diagnosis is parathyroid carcinoma, as it shares both clinical and histological characteristics with it, in addition to its still uncertain malignant potential.

Keywords: Calcium and bone; Endocrine cancer; Paediatrics.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone and Bones / pathology
  • Female
  • Humans
  • Hyperparathyroidism*
  • Parathyroid Glands / diagnostic imaging
  • Parathyroid Glands / pathology
  • Parathyroid Neoplasms* / diagnosis
  • Parathyroid Neoplasms* / diagnostic imaging