Parathyroid hyperplasia subtotal pararthyroidectomy
The main indications for parathyroid autotransplantation are currently well dened: (1) for surgical treatment of primary hyperparathyroidism due to multiglandular disease primary hyperplasia either associated or not with MEN syndromes); (2) in secondary hyperparathyroidism; (3) in repeat surgical exploration for persistent or recurrent hyperparathyroidism; and (4) during total thyroidectomy for thyroid carcinoma or benign disease (normal functioning and hyperfunctional multinodular goiter) and in cancer surgery in the anterior neck compartment Parathyroid hyperplasia involves enlargement of all four parathyroid glands, which are located in the neck and control calcium metabolism. Treatment: Surgery is the preferred treatment. Usually 3 1/2 glands are removed. The remaining tissue may be implanted in the forearm to regulate calcium levels but allow easy surgical access if hypercalcemia recurs. For familial diseases, such as MEN 1, total parathyroidectomy is performed along with cervica
