“…Renal involvement, including nephrolithiasis, nephrocalcinosis, and renal insufficiency presents in 30-84% of patients [16], and skeletal involvement, including osteofibrosis, osteoporosis, pathologic fractures, and bone pain occurs in more than 40% of patients [17]. Concomitant renal and skeleton involvement has been observed in up to 50% of patients with parathyroid carcinoma, but it is rare in patients with parathyroid adenoma [15]. Other symptoms of parathyroid carcinoma include fatigue, weakness, weight loss, anorexia, polyuria, and polydipsia; but those can be caused by other problems.…”