J Korean Surg Soc.  2005 Dec;69(6):482-484.

Supernumerary Parathyroid Gland

Affiliations
  • 1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. osk@snu.ac.kr

Abstract

A 66-year old presented with hypercalcemia with a 6 month duration. She was a MEN-I patient with a pancreas islet cell tumor and a pituitary adenoma. The clinical examination revealed no mass lesion of the neck. The serum calcium was elevated. Parathyroid scintigraphy showed a high uptake of 4 parathyroid glands that were compatible with hyperparathyroidism. During the operation, five parathyroid glands were identified, two at the right side and three at the left. All five glands were found to have hyperplasia by the pathologist. She underwent subtotal parathyroidectomy. She was discharged on the 8th post operative day and has been followed up without any evidence of recurrence for 36 months.

Keyword

Supernumerary parathyroid gland; Multiple endocrine neoplasia type 1; Subtotal parathyroidectomy

MeSH Terms

Adenoma, Islet Cell
Aged
Calcium
Humans
Hypercalcemia
Hyperparathyroidism
Hyperplasia
Multiple Endocrine Neoplasia Type 1
Neck
Pancreas
Parathyroid Glands*
Parathyroidectomy
Pituitary Neoplasms
Radionuclide Imaging
Recurrence
Calcium
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