‘Suppressed’ Double Adenoma – A Rare Pitfall in Minimally Invasive Parathyroidectomy
作者： Georg Zettinig , Amir Kurtaran , Gerhard Prager , Klaus Kaserer , Robert Dudczak
DOI: 10.1159/000057949
关键词:
摘要: Since the introduction of a quick intraoperative parathyroid hormone (QPTH) assay, complete removal hyperfunctioning tissue can be proven during surgery. We report on scintigraphically and biochemically documented patient with persistent primary hyperparathyroidism (PHPT) caused by suppressed tissue. A left lower enlarged gland was resected minimally invasive open parathyroidectomy. QPTH measurements confirmed resection histology showed tumorous gland. The normocalcemic until 1 month after surgery, when serum calcium increased again. MIBI scan 6 months surgery no evidence After an increase PTH, third another 3 later performed. Increased tracer uptake behind pole right thyroid lobe seen ultrasonography. Another removed. These findings support hypothesis that smaller yet abnormal glands may become hypersecretory if in situ surgical larger
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