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Parathyroid adenoma in a woman with secondary hyperparathyroidism

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May 8, 2014
by Darrin V. Bann, PhD; Neerav Goyal, MD, MPH; David Goldenberg, MD, FACS

For surgical treatment of secondary hyperparathyroidism, a common approach is the removal of three and one-half glands (subtotal parathyroidectomy), leaving the remaining half gland in place with an intact vascular pedicle. Alternatively, a total parathyroidectomy may be performed, and one-half of one gland may be minced and reimplanted into shallow pockets created in the sternocleidomastoid or brachioradialis muscles.

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