Locally Recurrent Parathyroid Neoplasms as a Cause for Recurrent and Persistent Primary Hyperparathyroidism

Re-explorative Parathyroid Surgery for Persistent and Recurrent Primary Hyperparathyroidism

Primary hyperparathyroidism (HPT) is treated by parathyroidectomy. Excision of abnormal parathyroid tissue is curative in the majority of cases. Postoperative persistent or recurrent HPT has been reported up to 30%. The purpose of this study was to evaluate the role of imaging techniques and determine the efficacy of reexplorative surgery. A total of 306 patients underwent parathyroidectomy bet...

Persistent or recurrent primary hyperparathyroidism.

More than 95% of patients with Primary Hyperparathyroidism (PHPT) are treated successfully at the initial operation when the operation is done by an experienced surgeon, but the success rate is considerably lower when done by an unexperienced surgeon. The approach to patients with persistent and recurrent PHPT is to confirm the diagnosis and to use precise localization procedures done by expert...

Recurrent Acute Pancreatitis: A Diagnostic Clue to Primary Hyperparathyroidism

Recurrent Primary Hyperparathyroidism after Autotransplantation of an Excised Parathyroid Adenoma

Introduction: We present a patient with recurrent primary hyperparathyroidism after reimplantation of a portion of an excised parathyroid adenoma. To our knowledge, there has been only one other case reported in the literature describing a re-implanted parathyroid adenoma as the culprit for recurrent primary hyperparathyroidism. Case Description: A 65-year-old female presented with recurrent pr...

Recurrent hyperparathyroidism due to parathyroid carcinoma.

The case is described of a woman who died with a functioning parathyroid carcinoma 19 years after removal of two parathyroid tumours, considered at the time to be benign. Following operation hyperparathyroidism subsided, with a short period of hypocalcaemia, and severe osteitis fibrosa cystica healed. Five years before death progressive renal failure developed with normal and later raised serum...