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Establishment of a Simple and Effective Rat Model for Intraoperative Parathyroid Gland Imaging
Published on: August 17, 2022
Familial isolated primary hyperparathyroidism with double adenoma
Emad Kandil1, Haytham H Alabbas, Ying W Lum
1Division of Endocrine and Oncological Surgery, Department of Surgery, Tulane University School of Medicine, and Tulane University Hospital, New Orleans, LA, USA. ekandil@tulane.edu
Southern Medical Journal
|February 6, 2010
Summary
Familial isolated primary hyperparathyroidism can present as double adenoma. Successful treatment involved surgical resection guided by intraoperative parathyroid hormone monitoring.
Area of Science:
- Endocrinology
- Surgical Oncology
Background:
- Familial hyperparathyroidism encompasses multiple endocrine neoplasia types 1 and 2A, and familial isolated primary hyperparathyroidism (FIPH).
- FIPH is a rare condition often caused by four-gland hyperplasia or single-gland adenoma.
Observation:
- This study details the successful treatment of a 24-year-old woman diagnosed with FIPH.
- The patient presented with a double adenoma, a less common presentation of FIPH.
Findings:
- The surgical resection of the double adenoma was guided by intraoperative parathyroid hormone (PTH) monitoring.
- This approach facilitated successful management of the condition.
Implications:
- Double adenoma should be considered in the differential diagnosis of FIPH.
- Intraoperative PTH monitoring and minimally invasive surgery show promise for treating FIPH.
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