Clinical and surgical approach to parathyroid adenomas: A single-center experience

Topal, Uğur; Dalcı, Kubilay; Ünal, Ayşe Gizem; Saritaş, Ahmet Gökhan; Gunay, Isa Burak; Uğuz, Aysun; Sakman, Gürhan

doi:10.5455/annalsmedres.2019.08.471

Cited by 1 publication

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“…The parathyroid glands are located in the neck, near or attached to the back side of the thyroid gland 2 . The normal parathyroid gland weighs approximately 50-70 mg 3 . Parathyroid hormone produced by chief cells of parathyroid gland which regulates calcium, phosphate and vitamin D homeostasis 4 .…”

Section: Introductionmentioning

confidence: 99%

Parathyroid Adenoma: an experience in BIRDEM General Hospital

Mahbub

Biswas

Dey³

et al. 2021

Bangladesh J of Otorhinolaryngology

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Background: Parathyroid adenoma is most commonly associated with primary hyperparathyroidism which leads to hypercalcaemia. Hypercalcaemia results in multiple stone formation in Kidney and biliary tract which indicates surgical removal of tumor. Perioperative management of patient is essential to prevent mortality and morbidity. The purpose of this study is to analyze a case series of patient having parathyroid adenoma with difficulties, to localize the adenoma and to take the measures to maintain the normal level of calcium in pre, per and postoperative period. Methods: This retrospective study was carried out in BIRDEM General Hospital and Ibrahim Medical College from May 2017 to December 2019. 14 patients who were diagnosed as primary hyperparathyroidism due to parathyroid adenoma who had been managed at the BIRDEM General Hospital, Dhaka, Bangladesh from May 2017 to December 2019 were reviewed and included. Result: Among 14 patients 8 were female and 6 male (M: F=3:4). Age ranges from 26 to 71 years with mean age was 52 years. Serum PTH were above normal (>65 pg/ml) in all cases. Serum calcium level were above normal in 12 cases (85.71 %) and 2 (14.29%) had normal levels. Serum phosphate levels were within normal range. Excision of adenoma done in all cases which were confirmed by frozen section per-operatively. None of our patients develop any complication during and after surgery Conclusion: Successful management of parathyroid adenoma requires combined skills of surgeons, endocrinologists, anesthesiologists and pathologists. Improvement after operation is quite remarkable and rewarding. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 44-51

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Section: Introductionmentioning

confidence: 99%