Hypercalcemia associated with hyperparathyroidism, a case study

Luu Thi Thao, Nguyen Quang Bay, Dang Thi Hoa

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Abstract

Primary hyperparathyroidism is the most common cause of hypercalcemia.  The majority  (95%) of patients with primary hyperparathyroidism (PHPT) are  successfully  treated  by surgery  . The most common causes for persistent PHPT are multiglandular disease, four-gland hyperplasia and missed abnormal ectopic parathyroid glands. We describe a case of persistent primary hyperparathyroidism due to the presence of an ectopic parathyroid gland found at the mediastinum. Intraoperative PTH assay and 99mTc-sestamibi scintigraphy may be useful in early diagnosing of persistent PHPT/unsuccessful surgery and localizing ectopic parathyroid gland.

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References

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