{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T08:05:43Z","timestamp":1779696343735,"version":"3.53.1"},"reference-count":7,"publisher":"Scientific Scholar","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>\n                    Tertiary hyperparathyroidism (THPT) is characterized by over secretion of parathyroid hormone caused by long-standing secondary hyperparathyroidism. THPT can affect the bones as well as cause extraskeletal calcifications. The bony lesions often mimic multiple skeletal metastases or multiple myeloma. We report a case of a 48-year-old man with chronic kidney disease on dialysis, who presented with chief complaints of low back ache and swelling over the left clavicle. In view of clinical suspicion of malignancy with bony metastases, he underwent\n                    <jats:sup>18<\/jats:sup>\n                    F-fluorodeoxyglucose positron emission tomography\/computed tomography and was subsequently found to have parathyroid adenomas, which were confirmed on\n                    <jats:sup>99m<\/jats:sup>\n                    Tc-methoxy-isobutyl-isonitrile scintigraphy.\n                  <\/jats:p>","DOI":"10.4103\/ijnm.ijnm_12_23","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T01:01:28Z","timestamp":1703120488000},"page":"392-393","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Serendipitous Diagnosis of Tertiary Hyperparathyroidism in a Case Purportedly thought to have Skeletal Metastases"],"prefix":"10.25259","volume":"38","author":[{"given":"Rashi","family":"Goel","sequence":"first","affiliation":[{"name":"Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasim","family":"Jaleel","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishikant","family":"Damle","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prateek","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, 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India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandrasekhar S","family":"Bal","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"key":"R1-20240902","first-page":"241","article-title":"Tertiary hyperparathyroidism: A review","volume":"172","author":"Palumbo","year":"2021","journal-title":"Clin Ter"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.jocd.2012.11.012","article-title":"Secondary and tertiary hyperparathyroidism","volume":"16","author":"Jamal","year":"2013","journal-title":"J Clin Densitom"},{"key":"R3-20240902","first-page":"950","article-title":"Brown tumors mimicking bone metastases","volume":"98","author":"Meydan","year":"2006","journal-title":"J Natl Med Assoc"},{"key":"R4-20240902","doi-asserted-by":"crossref","first-page":"391","DOI":"10.4103\/ijem.IJEM_292_19","article-title":"Secondary and tertiary hyperparathyroidism in chronic kidney disease: An endocrine and renal perspective","volume":"23","author":"Chandran","year":"2019","journal-title":"Indian J Endocrinol Metab"},{"key":"R5-20240902","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1046\/j.1523-1755.2001.060002472.x","article-title":"Pathophysiological mechanisms of vascular calcification in end-stage renal disease","volume":"60","author":"Davies","year":"2001","journal-title":"Kidney Int"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.clinimag.2014.02.014","article-title":"Musculoskeletal manifestations of endocrine disorders","volume":"38","author":"Boswell","year":"2014","journal-title":"Clin Imaging"},{"key":"R7-20240902","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1001\/archsurg.139.9.974","article-title":"Tertiary hyperparathyroidism: Histologic patterns of disease and results of parathyroidectomy","volume":"139","author":"Kebebew","year":"2004","journal-title":"Arch Surg"}],"container-title":["Indian Journal of Nuclear 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