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[A Case of Giant Parathyroid Adenoma]
1Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.
Abstract:
A 79-year-old man presenting with general fatigue was admitted to our department. Preoperative laboratory examination indicated primary hyperparathyroidism as the cause of his symptoms, with elevated parathormone and serum calcium levels. Ultrasound and 99mTc-MIBI of the cervical region revealed a giant parathyroid adenoma, sized 4×2.5 cm, located in the right thyroid lobe. Despite its size, the gland was successfully removed by performing minimally invasive parathyroidectomy. His postoperative course was uneventful, and he was discharged the next day. This report describes the case of an unusually large adenoma of the parathyroid, detected based on high serum calcium levels.
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