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Parathyroid carcinoma is a rare malignancy, and experience with its management is limited. It is generally accepted that surgery is the treatment of choice, and the initial operative intervention might represent the only chance for long-term success. At the time of surgery, a high index ofsuspicion for carcinoma is vital to performing the appropriate surgical procedures, becausefro zensection diagnosis of parathyroid carcinoma is noto riously unreliable. In this article, we describe our expe rience with this rare entity.

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