Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary Gland
Introduction. The variability of the location of the parathyroid glands is directly related to the events that occur during embryonic development. The impact that an individual submits more than four parathyroid glands is close to 13%. However the presentation of a parathyroid adenoma in a supernume...
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/6482546 |
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| author | Fernando Mendoza-Moreno Ángel Rodriguez-Pascual María Rocío Díez-Gago Marina Pérez-González Laura Jiménez‐Alvárez Isabel Furtado-Lobo Manuel Díez‐Alonso Fernando Noguerales-Fraguas |
| author_facet | Fernando Mendoza-Moreno Ángel Rodriguez-Pascual María Rocío Díez-Gago Marina Pérez-González Laura Jiménez‐Alvárez Isabel Furtado-Lobo Manuel Díez‐Alonso Fernando Noguerales-Fraguas |
| author_sort | Fernando Mendoza-Moreno |
| collection | DOAJ |
| description | Introduction. The variability of the location of the parathyroid glands is directly related to the events that occur during embryonic development. The impact that an individual submits more than four parathyroid glands is close to 13%. However the presentation of a parathyroid adenoma in a supernumerary gland is an uncommon event. Case report. A 30-year-old man diagnosed with primary hyperparathyroidism with matching findings on ultrasonography and scintigraphy for parathyroid adenoma localization lower left regarding the thyroid gland. A cervicotomy explorer showed four orthotopic parathyroid glands. The biopsy of the inferior left gland was normal. No signs of adenoma were seen in the biopsy. Following mobilization of the ipsilateral thyroid lobe, fifth parathyroid gland was found increased significantly in size than proceeded to remove, confirming the diagnosis of adenoma. After the excision, the levels of serum calcium and parathyroid hormone were normalized. Conclusions. The presentation of a parathyroid adenoma in a supernumerary gland is a challenge for the surgeon. The high sensitivity having different imaging techniques has been a key to locate preoperatively the pathological parathyroid gland. Analytical or clinical persistence of primary hyperparathyroidism after parathyroid surgery can occur if the location of the adenoma is a supernumerary or ectopic gland location. |
| format | Article |
| id | doaj-art-f34997c1696c4512a708ea39d5f8901f |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-f34997c1696c4512a708ea39d5f8901f2025-02-03T01:28:47ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/64825466482546Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary GlandFernando Mendoza-Moreno0Ángel Rodriguez-Pascual1María Rocío Díez-Gago2Marina Pérez-González3Laura Jiménez‐Alvárez4Isabel Furtado-Lobo5Manuel Díez‐Alonso6Fernando Noguerales-Fraguas7Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainDepartment of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainDepartment of Emergency Medicine, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainDepartment of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainDepartment of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainDepartment of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainDepartment of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainDepartment of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, Alcalá de Henares, Madrid, SpainIntroduction. The variability of the location of the parathyroid glands is directly related to the events that occur during embryonic development. The impact that an individual submits more than four parathyroid glands is close to 13%. However the presentation of a parathyroid adenoma in a supernumerary gland is an uncommon event. Case report. A 30-year-old man diagnosed with primary hyperparathyroidism with matching findings on ultrasonography and scintigraphy for parathyroid adenoma localization lower left regarding the thyroid gland. A cervicotomy explorer showed four orthotopic parathyroid glands. The biopsy of the inferior left gland was normal. No signs of adenoma were seen in the biopsy. Following mobilization of the ipsilateral thyroid lobe, fifth parathyroid gland was found increased significantly in size than proceeded to remove, confirming the diagnosis of adenoma. After the excision, the levels of serum calcium and parathyroid hormone were normalized. Conclusions. The presentation of a parathyroid adenoma in a supernumerary gland is a challenge for the surgeon. The high sensitivity having different imaging techniques has been a key to locate preoperatively the pathological parathyroid gland. Analytical or clinical persistence of primary hyperparathyroidism after parathyroid surgery can occur if the location of the adenoma is a supernumerary or ectopic gland location.http://dx.doi.org/10.1155/2018/6482546 |
| spellingShingle | Fernando Mendoza-Moreno Ángel Rodriguez-Pascual María Rocío Díez-Gago Marina Pérez-González Laura Jiménez‐Alvárez Isabel Furtado-Lobo Manuel Díez‐Alonso Fernando Noguerales-Fraguas Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary Gland Case Reports in Otolaryngology |
| title | Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary Gland |
| title_full | Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary Gland |
| title_fullStr | Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary Gland |
| title_full_unstemmed | Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary Gland |
| title_short | Primary Hyperparathyroidism due to Parathyroid Adenoma Originated from Supernumerary Gland |
| title_sort | primary hyperparathyroidism due to parathyroid adenoma originated from supernumerary gland |
| url | http://dx.doi.org/10.1155/2018/6482546 |
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