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CASE REPORT
Year : 2020  |  Volume : 17  |  Issue : 2  |  Page : 86-88

Intrathyroidal parathyroid adenoma: A perplexing entity


1 Department of Colorectal Surgery, Bedford NHS Trust, Bedford, UK
2 Department of Endocrinology and Diabetes, Maharaja Agrasen Hospital, New Delhi, India
3 Department of Endocrine Surgery, Maharaja Agrasen Hospital, New Delhi, India
4 Department of Nuclear Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, India
5 Department of Radiology, Maharaja Agrasen Hospital, New Delhi, India

Correspondence Address:
Dr. Deepak Khandelwal
Department of Endocrinology and Diabetes, Maharaja Agrasen Hospital, Punjabi Bagh, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/trp.trp_18_20

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Intrathyroidal parathyroid adenoma (IPA) can be a cause of failed cervical exploration for primary hyperparathyroidism (PHPT). There is a lot of controversy regarding the correct approach and extent of exploration in such cases. Herein, we report the case of a 37-year-old female who was managed for PHPT with right-sided IPA after correlating preoperative ultrasonography and99mTc-sestamibi scan. A high index of suspicion, preoperative identification, and planning is very important to avoid unnecessary dissection and failure to remove the diseased gland in such cases.


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