Coexistence of a parathyroid adenoma and parathyroid cyst causing primary hyperparathyroidism

2003 ◽  
Vol 26 (7) ◽  
pp. 679-682 ◽  
Author(s):  
G. Ardito ◽  
G. Fadda ◽  
D. Danese ◽  
Pietro Modugno ◽  
A. Giordano ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Parathyroid Cyst

scholarly journals A rare case of a parathyroid adenoma inside a parathyroid cyst

2014 ◽  
Vol 58 (7) ◽  
pp. 776-778 ◽  
Author(s):  
Spyridon N. Karras ◽  
Ioannis Koutelidakis ◽  
Panagiotis Anagnostis ◽  
Gesthimani Mintziori ◽  
Nikolaos Pontikides ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Therapeutic Approach ◽  
Rare Case ◽  
Cervical Lesions ◽  
Parathyroid Cyst ◽  
Parathyroid Cysts

Parathyroid cysts (PCs) are rare lesions, located in the neck and anterior mediastinal region. The vast majority are non-functioning, presented as nodular cervical lesions. Large, non-functioning PCs can manifest with compressive symptoms of the surrounding tissues. Rarely, PCs produce excessive amounts of parathyroid hormone (PTH), resulting in primary hyperparathyroidism. We report a case of functional PC, describing its diagnostic and therapeutic approach.

Abstract #735: Functional Giant Parathyroid Cyst: Rare Cause of Primary Hyperparathyroidism

2015 ◽  
Vol 21 ◽  
pp. 142-143
Author(s):  
Sailesh Lodha ◽  
Deependra N Singh ◽  
Ankur Gahlot
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Cyst

The volume of parathyroid adenoma is related to presurgical PTH and 25OH-D3, but not calcium levels at patients with primary hyperparathyroidism

2017 ◽  
Author(s):  
Cristian Velicescu ◽  
Cristina Gatu ◽  
Alexandru Grigorovici ◽  
Radu Danila ◽  
Valentin Munteanu ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma

Preoperative matching studies in the diagnosis of parathyroid adenoma for primary hyperparathyroidism: Can we avoid intraoperative PTH monitoring?

2021 ◽  
Author(s):  
Francisco Laxague ◽  
Cristian Agustin Angeramo ◽  
Enrique Dante Armella ◽  
Agustin Cesar Valinoti ◽  
Norberto Aristides Mezzadri ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Intraoperative Pth

scholarly journals Evaluation of diagnostic efficacy for localization of parathyroid adenoma in patients with primary hyperparathyroidism undergoing repeat surgery

2021 ◽  
Author(s):  
Anne Hendricks ◽  
Christina Lenschow ◽  
Matthias Kroiss ◽  
Andreas Buck ◽  
Ralph Kickuth ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Success Rates ◽  
Mri Imaging ◽  
Diagnostic Efficacy ◽  
Repeat Surgery ◽  
Predictive Values ◽  
Increased Risk ◽  
Biochemical Cure ◽  
Diagnostic Modalities

Abstract Purpose Repeat surgery in patients with primary hyperparathyroidism (pHPT) is associated with an increased risk of complications and failure. This stresses the need for optimized strategies to accurately localize a parathyroid adenoma before repeat surgery is performed. However, evidence on the extent of required diagnostics for a structured approach is sparse. Methods A retrospective single-center evaluation of 28 patients with an indication for surgery due to pHPT and previous thyroid or parathyroid surgery was performed. Diagnostic workup, surgical approach, and outcome in terms of complications and successful removement of parathyroid adenoma with biochemical cure were evaluated. Results Neck ultrasound, sestamibi scintigraphy, C11-methionine PET-CT, and selective parathyroid hormone venous sampling, but not MRI imaging, effectively detected the presence of a parathyroid adenoma with high positive predictive values. Biochemical cure was revealed by normalization of calcium and parathormone levels 24–48h after surgery and was achieved in 26/28 patients (92.9%) with an overall low rate of complications. Concordant localization by at least two diagnostic modalities enabled focused surgery with success rates of 100%, whereas inconclusive localization significantly increased the rate of bilateral explorations and significantly reduced the rate of biochemical cure to 80%. Conclusion These findings suggest that two concordant diagnostic modalities are sufficient to accurately localize parathyroid adenoma before repeat surgery for pHPT. In cases of poor localization, extended diagnostic procedures are warranted to enhance surgical success rates. We suggest an algorithm for better orientation when repeat surgery is intended in patients with pHPT.

Effect of Parathyroid Adenoma Resection on Bone Density in Primary Hyperparathyroidism and Osteitis Fibrosa Cystica

Orthopedics ◽  
2001 ◽  
Vol 24 (10) ◽  
pp. 1000-1002
Author(s):  
Treyce S Knee ◽  
Almond J Drake ◽  
David Turton ◽  
K M Mohamed Shakir
Keyword(s):  
Bone Density ◽  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Osteitis Fibrosa ◽  
Osteitis Fibrosa Cystica
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