Abstract
Primary hyperparathyroidism is the most frequent cause of asymptomatic hypercalcaemia in ambulatory patients (1). Parathyroid carcinoma (PCA) accounts for 5% of all the cases of primary and it has a variable prognosis (2). There is no published literature in the West Indies regarding the management of parathyroid carcinoma and this is the fourth case seen in our department of surgery for over 40 years. This report highlights an interesting presentation of parathyroid carcinoma and aims to review the current diagnosis and treatment of this disease entity.
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