A 47-year-old man with a history of renal stones was found to be hyperparathyroid. He was referred from another institution after undergoing partial parathyroidectomy for hyperplasia.
Abdominal CT scan revealed two pancreatic tumors, one in the neck and one in the tail. The tumor in the tail was more vascular than the one in the neck. On the basis of parathyroid, pituitary and pancreatic abnormalities, a diagnosis of multiple endocrine neoplasia, type I was made.
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