Location of Parathyroid Adenomas: Chiang Mai University Hospital Experience

Authors

  • Kirati Watcharachan Department of Surgery, Faculty of Medicine, Chiang Mai University
  • Pongsak Mahanupab Department of Pathology, Faculty of Medicine, Chiang Mai University

Keywords:

Location, parathyroid adenoma, primary hyperparathyroidism

Abstract

Background and Objective: To identify common locations of parathyroid adenomas in patients with primary hyperparathyroidism seen at Chiang Mai University Hospital.

Material and Method: A retrospective medical record review was performed to identify the location of parathyroid adenomas in patients who underwent parathyroidectomy with pathology report confirmation at Chiang Mai University Hospital from January 2005 to December 2014. The adenomas were grouped according to their position, into right superior, right inferior, left superior and left inferior.

Results: in terms of the position of adenomas were also reviewed. Results: The most common location of parathyroid adenomas was left inferior. In 23 patients, the left inferior location was seen in 12 patients (52%), the right inferior in 5 patients (22%), the left superior in 4 patients (17%) and the right superior in 2 patients (9%). According to MIBI scans, the left inferior was still the most common location of parathyroid adenomas (10/18 patients, 56%).

Conclusion: The most common location of parathyroid adenomas was the left inferior. This may help the surgeon identify an adenoma in primary hyperparathyroidism by providing a starting point, and perhaps decrease unnecessary neck exploration in patients with negative imaging studies.

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Published

2016-03-31

How to Cite

1.
Watcharachan K, Mahanupab P. Location of Parathyroid Adenomas: Chiang Mai University Hospital Experience. Thai J Surg [Internet]. 2016 Mar. 31 [cited 2024 Apr. 19];37(1):28-32. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/219976

Issue

Vol. 37 No. 1 (2016): January - March

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.