High cervical intravagal hypercellular parathyroid gland as the etiology of severe persistent primary hyperparathyroidism

J. F. Buell, D. L. Fraker, J. L. Doppman, T. H. Shawker, M. C. Skarulis, A. M. Spiegel, S. J. Marx, H. R. Alexander

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

The preoperative localization and operative management of a high cervical intravagal parathyroid adenoma in a young woman with severe persistent primary hyperparathyroidism is presented. The etiology of persistent hyperparathyroidism is most frequently a missed adenoma that is often in an ectopic location; of these, undescended adenomas represent a small but important proportion. If clinical suspicion and preoperative localization procedures suggest an undescended gland, a direct surgical approach using a high cervical incision and a unilateral exploration is often successful.

Original languageEnglish (US)
Pages (from-to)943-946
Number of pages4
JournalAmerican Surgeon
Volume61
Issue number11
StatePublished - Dec 1 1995
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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