The key to simplified management of an undescended parathyroid adenoma

Undescended parathyroid adenoma is a rare cause of primary hyperparathyroidism that happens < 1% of cases. If not suspected, it can lead to a negative bilateral parathyroid exploration and extensive iatrogenic trauma. We propose that with proper imaging the correct diagnosis can be established to...

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Autores principales: Humberto Ruiz-Hernández, Joyce Meza-Venegas, Samuel K. Snyder
Formato: article
Lenguaje:EN
ES
Publicado: Permanyer 2021
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Acceso en línea:https://doaj.org/article/35b3a3fc45134d0fa95ef4006e934da5
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Sumario:Undescended parathyroid adenoma is a rare cause of primary hyperparathyroidism that happens < 1% of cases. If not suspected, it can lead to a negative bilateral parathyroid exploration and extensive iatrogenic trauma. We propose that with proper imaging the correct diagnosis can be established to simplify surgical management. We describe two cases of patients who underwent a targeted neck exploration due to an undescended parathyroid adenoma diagnosed with an appropriate preoperative imaging protocol. With an appropriate imaging protocol for primary hyperparathyroidism and parathyroid hormone aspirates, an undescended parathyroid adenoma can be primarily diagnosed to guide a focused parathyroidectomy.