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Related Experiment Videos

[Parathyroid adenoma in a child].

A Gedalia1, E Avinoah, E Maor

  • 1Dept. of Pediatrics, Surgery C and Pathology, Soroka Medical Center, Beer Sheba.

Harefuah
|July 1, 1991
PubMed
Summary

Pediatric primary hyperparathyroidism due to parathyroid adenoma is rare. This case highlights a 9-year-old girl diagnosed after imaging failed, emphasizing the need for surgical exploration.

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Area of Science:

  • Pediatric Endocrinology
  • Surgical Pathology

Background:

  • Primary hyperparathyroidism in children is uncommon.
  • Parathyroid adenoma is a rare cause of this condition in pediatric patients.

Observation:

  • A 9-year-old Bedouin girl presented with incidentally discovered hypercalcemia.
  • Elevated serum parathyroid hormone levels confirmed hyperparathyroidism.

Findings:

  • Despite advanced imaging (ultrasonography, scintigraphy, CT, MRI), the parathyroid adenoma was not detected.
  • Surgical exploration led to the successful removal of an adenoma from the right upper thyroid pole.

Implications:

  • This case underscores the diagnostic challenges of pediatric parathyroid adenoma.
  • It highlights the potential need for exploratory surgery when non-invasive methods are inconclusive.