Parathyroid cancer diagnostic criteria

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Diagnostic Criteria

• Parathyroid carcinoma should be suspected clinically if:

• Hypercalcemia is greater than 14 milligrams per deciliter.
• Serum PTH levels are greater than twice that of normal.
• A cervical mass is palpated in a hypercalcemic patient.
• Hypercalcemia is associated with unilateral vocal cord paralysis.
• Concomitant renal and skeletal disease are observed in a patient with a markedly elevated serum PTH.

References

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