Ectopic parathyroid adenoma

Jad G. Sfeir, Matthew M Drake

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Ectopic parathyroid glands can significantly impact morbidity associated with parathyroid surgery, including the need for reoperation. Due to their longer migratory path during embryogenesis, the inferior parathyroid glands have a greater probability of becoming ectopic. While most ectopic parathyroid glands are accessible through a cervical incision, some require access to the mediastinum via either thoracotomy or a minimally invasive approach. Preoperative localization of parathyroid adenomas correlates with successful surgical resection and can alter the operative approach depending on ectopic gland location. Most surgical centers perform some combination of preoperative and/or intraoperative localization techniques prior to reoperation for persistent or recurrent primary hyperparathyroidism (PHPT).

Original languageEnglish (US)
Title of host publicationHyperparathyroidism: A Clinical Casebook
PublisherSpringer International Publishing
Pages65-74
Number of pages10
ISBN (Print)9783319258805, 9783319258782
DOIs
StatePublished - Jan 1 2016

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Keywords

  • Ectopic
  • Mediastinum
  • Osteoporosis
  • Parathyroid scan
  • Parathyroidectomy
  • Primary hyperparathyroidism
  • Sestamibi scintigraphy
  • Single-photon emission computed tomography (spect)
  • Thorax

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sfeir, J. G., & Drake, M. M. (2016). Ectopic parathyroid adenoma. In Hyperparathyroidism: A Clinical Casebook (pp. 65-74). Springer International Publishing. https://doi.org/10.1007/978-3-319-25880-5_8