FUNCTIONAL CARCINOMA of the parathyroid gland is a rare disease. Based on criteria of endocrine hyperactivity and metastases or recurrent tumor, less than 30 cases have been reported in the literature.1,2,3,5,6 Albright and Reifenstein5 accepted only 3 cases up to 1948. The following case report of carcinoma of the parathyroid is of interest because the patient's severe clinical symptoms of hyperparathyroidism recurring 2 years after the removal of the primary tumor were associated with widespread cervical metastases.
Report of a Case
A 53-year-old man was admitted to St. Mary Hospital, Hoboken, N. J., for the first time in September, 1958, complaining of pain in the ankles, nausea, vomiting, and weakness of 2 months' duration. Pain in the tibial region was increased and was so severe that he had difficulty in walking.Physical examination on admission revealed a chronically ill, short, stocky white male with a pulse rate