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Asymptomatic hyperparathyroidism caused by a giant parathyroid adenoma
T E Madiba1, K N Rughubar, A A Haffejee
1Departments of Surgery, Pathology and Medicine, University of Natal and King Edward VIII Hospital, Durban.
Summary
A giant parathyroid gland caused primary hyperparathyroidism in a 57-year-old woman. Surgical removal and histological analysis confirmed it was a parathyroid adenoma.
Area of Science:
- Endocrinology
- Surgical Pathology
Background:
- Primary hyperparathyroidism is a common endocrine disorder.
- It is typically caused by parathyroid adenomas, hyperplasia, or carcinoma.
- Giant parathyroid glands are rare causes.
Observation:
- A 57-year-old woman presented with primary hyperparathyroidism.
- Routine investigations revealed an unusually large parathyroid gland.
Findings:
- The enlarged parathyroid gland was surgically removed.
- Histological examination confirmed the presence of a parathyroid adenoma.
Implications:
- This case highlights giant parathyroid adenoma as a rare cause of primary hyperparathyroidism.
- Successful surgical resection is curative.
- Accurate histological diagnosis is crucial for management.