A Case of Hyperparathyroidism Caused by Intrathyroidal Parathyroid Adenoma

Cho, Ki Ju; Park, Sang-Wook; Won, Seongjun; Kim, Jin Pyeong; Park, Jung Je

doi:10.11106/ijt.2021.14.1.42

Cited by 3 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with intrathyroidal parathyroid adenomas can present with overt symptoms of primary hyperparathyroidism, or can be asymptomatic 9,24,25 . Symptoms of hypercalcemia are wide‐ranging and can include bone pain, polyuria, renal colic, constipation, and depression.…”

Section: Resultsmentioning

confidence: 99%

“…Patients with intrathyroidal parathyroid adenomas can present with overt symptoms of primary hyperparathyroidism, or can be asymptomatic. 9 , 24 , 25 Symptoms of hypercalcemia are wide‐ranging and can include bone pain, polyuria, renal colic, constipation, and depression. In a cohort of 53 IPAs, Mazeh et al found no difference in the type of clinical symptoms, demographics, and blood results relative to a control group of normal parathyroid adenomas.…”

Section: Resultsmentioning

confidence: 99%

“…Patients with intrathyroidal parathyroid adenomas can present with overt symptoms of primary hyperparathyroidism, or can be asymptomatic. 9,24,25 Severe bone disease appears to be more prevalent with ectopic parathyroid adenomas, including IPAs. 4 This might reflect delays in diagnosis and definitive management in patients with ectopic parathyroid adenomas.…”

Section: Clinical Presentationmentioning

confidence: 99%

See 2 more Smart Citations

Intrathyroidal parathyroid adenomas: Scoping review on clinical presentation, preoperative localization, and surgical treatment

et al. 2022

View full text Add to dashboard Cite

Intrathyroidal parathyroid adenomas (IPAs) are a rare cause of primary hyperparathyroidism. They are often difficult to localize preoperatively and intraoperatively, making diagnosis and treatment challenging. Current data on IPAs are sparse and fragmented in the literature. This makes it difficult to compare the effectiveness of different imaging and surgical techniques. To address this issue, this scoping review maps the literature on IPAs, focusing on four domains: clinical presentation, current localization methods, different surgical techniques, and histopathological features. A search of MEDLINE, Embase, and the Cochrane Library was conducted, with 19 studies meeting the inclusion criteria. The characteristics of IPAs on ultrasound, fine‐needle aspiration, CT, MRI, sestamibi‐based techniques, and selective venous sampling are summarized. Emerging imaging modalities, including autofluorescence, are introduced. Surgical methods and intraoperative factors that correlate with high success rates for removal are highlighted. This review also identifies gaps in knowledge to guide further research into this area.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

See 1 more Smart Citation

Intrathyroidal parathyroid adenomas: Scoping review on clinical presentation, preoperative localization, and surgical treatment

et al. 2022

View full text Add to dashboard Cite

show abstract

“…3 It is usually diagnosed preoperatively by biochemical changes, ultrasound and nuclear imaging as well as per operatively by frozen section examination and parathyroid hormone levels after excision. 4 But sometimes parathyroid glands are difficult to recognize macroscopically during operation and turn to be thyroid tissue by frozen section examination. Again, in case of ectopic location, parathyroid gland may not be found even after meticulous search.…”

Section: Introductionmentioning

confidence: 99%

Intra-thyroid parathyroid adenoma: a difficult task to find

Tasnim,

Akter,

Afroze

et al. 2023

Birdem Med J

View full text Add to dashboard Cite

We report a case of 66-year-old female, who presented with features of hypercalcemia and developed acute kidney injury (AKI). Parathyroid hormone level was raised up to 740 pg/ml. Ultrasound and sestamibi scan suggested presence of a right sided parathyroid adenoma. A decision of right sided parathyroidectomy was taken. The sample that was sent for frozen section showed only thyroid tissue. No macroscopically visible or palpable nodule suspected to be parathyroid adenoma could be found. So, a decision of right hemithyroidectomy was taken and done accordingly. On routine histopathology a solid gray white nodule was found within thyroid tissue and it was confirmed microscopically as parathyroid adenoma. BIRDEM Med J 2023; 13(2): 116-118

show abstract