Table 85.12Clinical Features of Primary Hyperparathyroidism due to Parathyroid Carcinoma and Benign Tumors

Cancer*Benign
Incidence2–4%96–98%
Female:male1:13:1
Age (yr)
Mean4558
Range12–8417–83
Palpable neck mass42%Rare
Serum calcium
Mean mg/dL (mmol/L)15 (3.75)11–12 (2.75–3.0)
>14 mg/dL (3.5 mmol/L)64%<10%
Renal disease56%20%
Lithiasis49%20%
Nephrocalcinosis23%Rare
Decreased function51%14%
Bone disease63%6%
Osteitis fibrosa cystica36%4%
Renal and bone disease39%Rare
Gastrointestinal disease
Peptic ulcer11%8%
Pancreatitis11%Rare
Asymptomatic3%47%
*

From references 417, 418, 481, and 490.

From references 442, 444, 445, 447, 482.

From: Chapter 85, Neoplasms of the Neuroendocrine System and Neoplasms of the Gastroenteropancreatic Endocrine System

Cover of Holland-Frei Cancer Medicine
Holland-Frei Cancer Medicine. 5th edition.
Bast RC Jr, Kufe DW, Pollock RE, et al., editors.
Hamilton (ON): BC Decker; 2000.
© 2000, BC Decker Inc.

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