PMC3767263_01
Graphical representation of serum calcium (normal 8.5 to 10.5 mg/dl); 25(OH) vitamin D (normal >32 ng/ml) and intact parathyroid hormone (normal 32 to 75 pg/ml) in the patient from the time of presentation till post-operative period.
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F1
A 36-year old male presented to Endocrinology OPD, Fortis Hospitals, Bangalore, India, with low serum 25-hydroxy vitamin D levels, normal calcium and parathyroid hormone (PTH) levels (Fig. 1) a year after endoscopic excision of left inferior parathyroid adenoma.
Ga68 Dotanoc whole body PETCT scan. Two well defined smoothly marginated slightly lobulated soft tissue lesions in the right upper anterior chest wall just above the level of jugular notch to the right of midline which are Ga68 Dotanoc avid (arrow).
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F2
Ga68 DOTANOC whole body PETCT scan revealed two well defined lesions in the right upper anterior chest wall (Fig. 2a, b).
Fused PET CT image. There are two well defined smoothly marginated slightly lobulated soft tissue dense lesions measuring 1.6 x 1.5 cm and 1.2 x 1.2 cm in the right upper anterior chest wall just above the level of jugular notch (arrows).
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F3
Histology confirmed it to be parathyroid carcinoma (Fig. 3).