Highlights • Parathyroid gland has a distinct physiologic and endocrinologic role in the body system.• Primary hyperparathyroidism is the most common cause of hypercalcemia• Giant parathyroid adenomas are rarely symptomatic… Click to show full abstract
Highlights • Parathyroid gland has a distinct physiologic and endocrinologic role in the body system.• Primary hyperparathyroidism is the most common cause of hypercalcemia• Giant parathyroid adenomas are rarely symptomatic than non-giant parathyroid adenomas and parathyroid carcinoma.• Primary hyperparathyroidism should be suspected when dealing with a hypercalcemic patient having osteolytic bony lesions.• Distinguishing Parathyroid adenoma from carcinoma is a challenging and essential preoperative step in planning and surgical procedure.
               
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