2017
DOI: 10.1007/s12105-017-0861-7
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A Herald of Plasma Cell Myeloma: A Report of Malignant Plasma Cells Identified in Parathyroid Adenoma and a Review of Non-parathyroid Malignancies in Parathyroid Glands

Abstract: Involvement of the parathyroid glands by non-parathyroid neoplasia is an infrequent event. Rare cases of metastases to the parathyroid gland have been reported in parathyroidectomies and autopsies of patients with known solid or hematopoietic malignancies. Here, we present a case of atypical clonal plasma cells incidentally identified within a parathyroid adenoma resected for hyperparathyroidism and hypercalcemia, which served as the sentinel event for a subsequent diagnosis of plasma cell myeloma. To our know… Show more

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“…The diagnosis was usually based on neck US during follow-up evaluation, and in some cases, such as with biochemically proven hyperparathyroidism, further imaging with Sestamibi radionuclide scanning can be performed although Sestamibi cannot distinguish benign from malignant parathyroid lesions (Cracolici et al 2018). Currently, no imaging modality that could reliably distinguish a parathyroid adenoma from metastases.…”
Section: Imagingmentioning
confidence: 99%
“…The diagnosis was usually based on neck US during follow-up evaluation, and in some cases, such as with biochemically proven hyperparathyroidism, further imaging with Sestamibi radionuclide scanning can be performed although Sestamibi cannot distinguish benign from malignant parathyroid lesions (Cracolici et al 2018). Currently, no imaging modality that could reliably distinguish a parathyroid adenoma from metastases.…”
Section: Imagingmentioning
confidence: 99%