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Case Discussion PHP Cystic Adenoma 20.01.2020

PROBLEM LIST

  1. A 68 Y/O woman
  2. Bone pain ,HTN, Intractable gastric ulcer
  3. Biochemically abnormal: compatible with hyperparathyroidism
  4. Radiologically sup mediastinal mass: compatible with paraganglioma?

Questions:

  1. 1- how is the anatomical distribution of ectopic parathyroid glands & adenomas?
  2. 2- What are the differences between solid & cytic parathyroid adenomas( size, symptoms,ectopia, atypical  adenoma)?
  3. 3- what is the significans of cystic aspect of parathyroid adenoma?
  4. 4- was ectopic CYSTIC parathyroid adenoma the definit diagnose or a pth-secreting tumor such as neuroendocrine tumor can be considered?
  5. 5- how can we differentiate them? what are the similarities and differences between neuroendocrine tumor and parathyroid adenoma on pathologic study?