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Case Discussion Parathyroid CA.19.03.1399

A 43 y/o male with parathyroid carcinoma,
repeated locoregional recurrence and pulmonary metastasis

Questions:

1- What are the differences between parathyroid carcinoma & benign parathyroid disease?

2- What is the diagnostic pitfalls ?

3- What is the next step for the patient?