[
    {
        "id": "osp-11479",
        "type": "article-journal",
        "title": "Severe Hyperparathyroidism Versus Parathyroid Carcinoma: A clinical dilemma",
        "author": [
            {
                "family": "Al-Fadhli",
                "given": "Mariam"
            },
            {
                "family": "Doi",
                "given": "Suhail AR"
            },
            {
                "family": "Al-Sumait",
                "given": "Thomas"
            },
            {
                "family": "Basel",
                "given": ""
            }
        ],
        "URL": "https://omanscience.com/en/articles/severe-hyperparathyroidism-versus-parathyroid-carcinoma-a-clinical-dilemma",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2025
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "10",
        "issue": "1",
        "page": "94-100",
        "DOI": "10.18295/2075-0528.1165",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "abstract": "No clinical or laboratory data allow a preoperative diagnosis of parathyroid carcinoma and only occasionally does a definitive finding differentiate an adenoma from a carcinoma. We present a case of primary hyperparathyroidism presenting with severe elevation of parathyroid hormone and serum calcium as well as complications. We go on to discuss the case in the light of a literature review. The severity of the elevation of the parathyroid hormone, other biochemical alterations, the presence of skeletal and renal complications and of a neck mass should alert the clinician to a possible parathyroid carcinoma. Radical surgery is the only effective therapy for parathyroid carcinoma, and should always be performed if a preoperative suspicion is entertained."
    }
]