Primary hyperparathyroidism is defined by elevated parathyroid hormone and calcium levels, most usually caused a adenoma. Parathyroid adenomas are commonly detected in the neck or an ectopic site, seldom mediastinum. The adenoma can occur locations such as mediastinum, thymus, retro oesophagal area 6-16% of cases. We presented example 73-year-old woman who was found to have hypercalcemia during...

Abstract Aim CT imaging is increasingly used in the pre-operative localisation of abnormal parathyroid glands. Parathyroid glands typically enhance arterial phase and washout delayed phase. The aim this novel study was to analyse classify all various enhancement patterns. Method 42 patients underwent a three-phase which identified 45 subsequently had surgical excision histological assessment. H...

Primary hyperparathyroidism due to ectopic parathyroid adenomas can pose diagnostic and management challenges, especially when imaging studies have localised the lesions to different sites. We report a case of symptomatic hypercalcaemia due to a mediastinal parathyroid adenoma. Ultrasonography identified a nodule posterior to the right thyroid gland. However, computed tomography and technetium-...

We report a case of intrathyroidal and ectopic parathyroid hyperplasia in a 47-year-old female patient with secondary hyperparathyroidism. During evaluation for end stage renal disease, hypercalcemia and hyperparathyroidism were detected in laboratory exam and thyroid nodules were found in computed tomography, and thyroid ultrasonography. In subsequent dual-phase technetium-99m methoxyisobutrli...

BACKGROUND Ectopic parathyroid adenomas can occur in numerous anatomic locations. While ectopic parathyroid adenomas can rarely occur in the pharyngeal region, this has not previously been described in the soft palate. CASE PRESENTATION We report the first case of ectopic parathyroid adenoma within the soft palate. A 59 year old woman presented with hyperparathyroidism. She remained persisten...

Parathyromatosis is the most severe type of recurrent secondary hyperparathyroidism (SHPT) after parathyroidectomy (PTX) in haemodialysis patients. It is difficult to completely remove all foci of parathyroid tissue and neck re-explorations are often required. Here, we report for the first time a case of recurrent SHPT due to parathyromatosis treated by radio-guided PTX. A haemodialysed 48-year...

ultrasound is one of the preferred modalities for evaluation of the parathyroid glands. this study was undertaken to determine the accuracy of high resolution ultrasound for secondary hyperparathyroidism in patients with chronic renal failure. from march 2008 to march 2009, ninety-one hemodialysis patients were examined by high resolution ultrasound (14 mhz) of the parathyroid glands in compari...

INTRODUCTION The treatment of primary hyperparathyroidism consists almost exclusively in the parathyroidectomy. The preoperative imaging (ultrasonography, 99mTc sestamibi scan) can allow to localize the pathologic gland and perform minimally-invasive focused techniques, but in presence of ectopic or intrathyroidal glands, parathyroid hyperplasia or coexistent thyroid disease, the sensitivity of...

Primary hyperparathyroidism is the most common cause of hypercalcemia in the outpatient population. This condition is usually the result of a single hyperfunctioning parathyroid gland. Targeted parathyroidectomy guided by intraoperative parathyroid hormone monitoring (IPM) through a small cervical incision has replaced traditional bilateral neck exploration (BNE) as the initial approach in the ...