Int J Thyroidol.  2019 Nov;12(2):132-136. 10.11106/ijt.2019.12.2.132.

Subtotal Parathyroidectomy for Tertiary Hyperparathyroidism: a Case Report and Literature Review

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Korea. kytae@hanyang.ac.kr
  • 2Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea.

Abstract

Despite the correction of secondary renal hyperparathyroidism after successful kidney transplantation, some recipients have persistent hyperparathyroidism due to autonomous hypertrophied parathyroid glands. St. Goar first identified and termed this disease as tertiary hyperparathyroidism. Surgery, either subtotal parathyroidectomy or total parathyroidectomy with autotransplantation, is the main treatment for tertiary hyperparathyroidism. Here, we report a case of a patient with tertiary hyperparathyroidism after two times of kidney transplantation who underwent subtotal parathyroidectomy and also review the relevant literature.

Keyword

Hyperparathyroidism; Kidney transplantation; Parathyroidectomy

MeSH Terms

Autografts
Humans
Hyperparathyroidism*
Kidney Transplantation
Parathyroid Glands
Parathyroidectomy*
Transplantation, Autologous
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