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Primary hyperparathyroidism and laryngeal carcinoma: A cause of associated hypercalcemia
Authors:J. G. Haar  Ekram John Boulos
Affiliation:Buffalo, NY.191, North St., Buffalo, NY 14201Search for more papers by this authorEkram John Boulos M.D.,
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From the Department of Otolaryngology, State University of New York at Buffalo and the Department of Otolaryngology and Head and Neck Surgery, Sisters of Charity Hospital, Buffalo, NY.
Abstract:Two cases of laryngeal carcinoma are presented which, upon initial evaluation, were noted to have asymptomatic hypercalcemia with no evidence of bone metastases. Exploration of the parathyroid glands at the time of definitive surgery revealed parathyroid pathology in both cases. Calcium levels returned to normal postoperatively in both cases. We conclude that in patients with head and neck cancer with hypercalcemia and no evidence of bone metastases, parathyroid pathology should be considered. Exploration of the parathyroid glands at the time of definitive surgery or as a separate procedure may prove rewarding.
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