Joseph Gabriel Gabriel1, Alejandro Contreras2, Andrew Rosenthal3. 1. Resident in Internal Medicine at the East Tennessee State University James H Quillen College of Medicine in Johnson City. gabriel@etsu.edu. 2. Resident in Surgery at the Baystate Medical Center in Springfield, MA. alejandro.cont85@gmail.com. 3. Associate Director of Trauma Services at Memorial Regional Hospital in Hollywood, FL. rasolomon@mhs.net.
Abstract
INTRODUCTION: Patients with primary hyperparathyroidism generally have a single parathyroid adenoma that causes excessive excretion of parathyroid hormone. For about 2% to 15% of these patients, a double adenoma is present that involves one lesion on each side of the neck. CASE PRESENTATION: We describe a case of double parathyroid adenoma causing asymptomatic hypercalcemia. A presurgical technetium99m (Tc99m) sestamibi scan suggested an ipsilateral double adenoma in the left thyroid lobe. An intraoperative parathyroid hormone assay confirmed its successful removal. DISCUSSION: Although double adenomas are not yet widely acknowledged, presurgical imaging and nuclear scans can help to localize multiple lesions, and intraoperative parathyroid hormone assays can confirm the diagnosis and cure.
INTRODUCTION:Patients with primary hyperparathyroidism generally have a single parathyroid adenoma that causes excessive excretion of parathyroid hormone. For about 2% to 15% of these patients, a double adenoma is present that involves one lesion on each side of the neck. CASE PRESENTATION: We describe a case of double parathyroid adenoma causing asymptomatic hypercalcemia. A presurgical technetium99m (Tc99m) sestamibi scan suggested an ipsilateral double adenoma in the left thyroid lobe. An intraoperative parathyroid hormone assay confirmed its successful removal. DISCUSSION: Although double adenomas are not yet widely acknowledged, presurgical imaging and nuclear scans can help to localize multiple lesions, and intraoperative parathyroid hormone assays can confirm the diagnosis and cure.
Authors: E Vignali; A Picone; G Materazzi; S Steffe; P Berti; L Cianferotti; F Cetani; E Ambrogini; P Miccoli; A Pinchera; C Marcocci Journal: Eur J Endocrinol Date: 2002-06 Impact factor: 6.664
Authors: Emad Kandil; Haytham H Alabbas; Anshuman Bansal; Tareq Islam; Anthony P Tufaro; Ralph P Tufano Journal: Arch Otolaryngol Head Neck Surg Date: 2009-12