CONTEXT Primary hyperparathyroidism is the most common cause of hypercalcemia in unselected patients. The ectopic gland locations should be known for appropriate surgical exploration and for avoiding subsequent re-exploration that would represent higher morbidity. Multiple ectopic glands are rare and present a particular challenge in parathyroid surgery. CASE REPORT A 65-year-old female prese...

Primary hyperparathyroidism is present in approximately 1 in 500 people and occurs predominantly in post-menopausal women. The condition occurs in approximately 85% cases as adenoma, 14% cases as Parathyroid Hyperplasia and in 1% cases as Parathyroid Carcinoma (1) . Rarely it can occur as part of MEN (Multiple Endocrine Neoplasia) Type 1 and Type 2a and Familial Hyperparathyroidism. There is al...

osteitis fibrosa cystica is the classic patognomonic form of skeletal disease in hyperparathyroidism that characterizes with decreased cortical bone thickness compared to increased cancellous bone. we present a case of 52-year old female patient with osteolysis of the left calf on radiographic images. the bone scan detected multiple focal pathological accumulations in the skull, left tibia, bot...

Novel surgical applications include radioguided procedures in parathyroidectomy operations. In order to investigate the feasibility of usage of the portable gamma camera in parathyroidectomy operations; intraoperative radioguided parathyroidectomy operation was performed in three hyperparathyroidism patients with inconclusive preoperative parathyroid scintigraphy results. Intraoperative portabl...