PTH and parathyroid gland adenoma: •Although recurrent Hypercalcemia with high serum PTH level, jaw tumor, and bilateral parathyroid adenomas in99mTc-MIBI parathyroid scintigraphy suggesting HPT-JT, her old age, lack of similar familial history, absence of nonendocrine malignancy as well as evidence of malignancy in the patient's parathyroid pathology, this diagnosis was not supported.