This is a descriptive case series of parathyroid adenoma
, we reviewed the data of non randomized consecutive patients who underwent parathyroidectomy for parathyroid adenoma
in our hospital.
Patients with solitary parathyroid adenoma
and without additional thyroid pathology were operated by one of the three surgeons in our institute using minimal invasive parathyroidectomy in light of the pre-operative US and 99 mTc-MIBI planar scintigraphy+SPECT/CT.
Patients: Patients diagnosed with PHPT between January 1, 2002, and August 30, 2010, using parathyroid scintigraphy with MIBI and imaging with a dual-phase dual-isotope technique, reported as parathyroid adenoma
, were enrolled into this study.
In this case, the proband's height, recurrent parathyroid adenoma
, behavioral problems and learning disabilities warranted CMA, which led to the discovery of a 1q31 .2q31 .3 deletion.
Intrathyroid parathyroid adenoma
: incidence and location the case against thyroid lobectomy.
With regard to these findings, a neck ultrasound showed no evidence of a parathyroid adenoma
. Subsequently, a CT scan of the thorax and abdomen showed a 2 cm, hyper-vascular, solitary nodule at the anterior mediastinum, at the level of the anterior aspect of the ascending aorta (Figure 1).
Before the advent of [sup.99m]Tc-Sestamibi, the best management of parathyroid adenoma
was four-gland exploration without prior localization.
The cervical-thoracic magnetic resonance image revealed a nodule of 36 mm in the major axis sitting in the left parathyroidal lobe (Figure 1.A and B) evoking a parathyroid adenoma
given to the clinical and biological context.
Similarly, parathyroid adenoma
was a surgical indication for redo surgery in 5 patients (10.2%) in whom concurrent nodular goiter was also excised (Table 1).
However, it is believed to be a useful diagnostic method for cystic parathyroid adenoma
[13, 19, 29].
The lesion had irregular hypoechoic component and was suggestive of parathyroid adenoma
. Parathyroid technetium scintiscan (99mTc Sestamibi; Technetium-99 MIBI; methoxy-isobutyl-isonitrile) was requisite and revealed left lower parathyroid adenoma
Surgery (removal of the parathyroid adenoma
) in the early second trimester is considered the treatment of choice in selected women [2-4].