Adenoma of the parathyroid gland in a young woman with chronic kidney disease: primary or tertiary hyperparathyroidism?

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Abstract

Clinical observation of a young woman with chronic kidney disease IV stage and hyperparathyroidism is presented. Ultrasound and 99mTc-sestamibi scintigraphy of the anterior surface of the neck visualized a tumor of the left upper parathyroid gland. In a histological examination of distant education was diagnosed a solid parathyroid adenoma. The difficulty of differential diagnosis between primary and secondary/tertiary hyperparathyroidism in chronic kidney disease is discussed.

About the authors

O. N. Vetchinnikova

Vladimirsky Moscow Regional Research Clinical Institute

Author for correspondence.
Email: olg-vetchinnikova@yandex.ru
ORCID iD: 0000-0002-1888-8090

д.м.н., проф. каф. трансплантологии, нефрологии и искусственных органов, ст. науч. сотр. хирургического отд-ния трансплантации почки, фак-т усовершенствования врачей ГБУЗ МО «МОНИКИ им. М.Ф. Владимирского»

Russian Federation, Moscow

E. I. Prokopenko

Vladimirsky Moscow Regional Research Clinical Institute

Email: olg-vetchinnikova@yandex.ru
ORCID iD: 0000-0002-7686-9816

д.м.н., проф. каф. трансплантологии, нефрологии и искусственных органов, ст. науч. сотр. хирургического отд-ния трансплантации почки, фак-т усовершенствования врачей ГБУЗ МО «МОНИКИ им. М.Ф. Владимирского»

Russian Federation, Moscow

I. A. Voronkova

Vladimirsky Moscow Regional Research Clinical Institute; Endocrinology Research Centre

Email: olg-vetchinnikova@yandex.ru
ORCID iD: 0000-0001-6687-3240

врач патологоанатомического отд-ния ГБУЗ МО «МОНИКИ им. М.Ф. Владимирского», врач отд-ния патологии околощитовидных желез ФГБУ «НМИЦ эндокринологии»

Russian Federation, Moscow

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2. Fig. 1. Results of radioisotope scintigraphy and neck and mediastinal SPECT. The focus of pathological hyperfixation of the radiopharmaceutical behind the upper pole of the left thyroid lobe; signs of neoplasms (adenomas) of the left upper LV in an orthotopic position.

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3. Fig. 2. Adenoma of the left upper LV

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