Raritní případ obrovského adenomu přístítného tělíska

Title in English Rare case of giant parathyroid adenoma


Year of publication 2016
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
MU Faculty or unit

Faculty of Medicine

Web https://www.prolekare.cz/casopisy/rozhledy-v-chirurgii/2016-12-1/raritni-pripad-obrovskeho-adenomu-pristitneho-teliska-60227
Field Surgery incl. transplantology
Keywords critical diagnosis of hyperparathyroidism; acute-active parathyroid adenoma; extirpation of a huge parathyroid tumour; normalization of the clinical condition
Description Currently, primary hyperparathyroidism is the third most common endocrine disorder world wide. In the last years, though, the numbers of patients with this diagnosis have been clearly increasing. Females are affected more often, and the age of patients is usually over 50 years. The diagnosis is guided by clinical symptoms of the patient and by biochemical and imaging methods results. [1] When parathyroid adenoma is identified as the source of primary hyperparathyroidism, the necessary extent of resection is performed. The present case involved a rapid diagnostic process necessary to stabilize the patient, together with localization of the adenoma for the indicated surgery. Ultrasound-guided exploration found a surprisingly large tumour of the parathyroid gland causing the acute clinical condition with symptoms suggestive of primary hyperparathyroidism with discrete mechanical compression of the upper mediastinum.

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