Case 376

Case 376

Medical History

A 57-year-old female patient initiated diffuse bone pain over a year ago and was admitted to the hospital after presenting with worsening of symptoms, which restricted deambulation. Laboratorial findings showed calcitonin: 15,4mg/dL (reference range: 8,5-10,2mg/dL), PTH: 2566,8pg/mL (reference range: 18,5-88,0pg/mL) and alkaline phosphatase: 1525U/L (reference range: 36-110 U/L). Computed tomography (CT) and magnetic resonance imaging (MRI) of the neck were performed. After hemodynamic and calcium levels stabilization, the patient underwent surgical resection of the lesion.

Question:
Considering the clinical history and images presented, what is the most likely diagnosis?

Test Question

COMISSÃO ESTADUAL DE RESIDÊNCIA MÉDICA DO AMAZONAS – AM 2016

In primary hyperparathyroidism, we may find:

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