Introduction: Parathyroid carcinoma is a rare malignant endocrine tumor that is usually associated with primary hyperparathyroidism. The coexistence of parathyroid carcinoma and renal hyperparathyroidism is a rare phenomenon. Hence. we present a case of parathyroid carcinoma in a patient with tertiary hyperparathyroidism. https://www.spidertattooz.com/Primera-Mano-Tequila-Reposado-Cristalino-750ml-80-Proof/