Advanced International Journal for Research

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Volume 7 Issue 2
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A Case of Parathyroid Adenoma, a Medical Chamelon and Review of Literature

Author(s) Dr. Lingudu Brahmanandam, Dr. Polu Poina Sreenivasulu, Dr. P Radha Rani
Country India
Abstract We report a case of parathyroid adenoma diagnosed in our Endocrinology Department, Super Spciality Hospital, Government Medical College, Ananthapuramu. 46 year old female presented with Anorexia, Vomiting, Constipation, Insomnia, Dizziness, Headache, Generalized weakness of 7 months duration. Past history of Hypertension since 1 year on Anti hypertensives beta blockers and Angiotensin Converting Enzyme (ACE) inhibitors. We did routine Hematological and Biochemical parameters which revealed hypercalcemia and hypophosphatemia. We send parathormone (PTH) levels which were grossly elevated suggestive of primary hyperparathyroidism. Ultrasonography neck revealed hypoechoeic lesion in lower pole of left lobe of thyroid. Tc 99 Sesta MIBI scintigraphy revealed parathyroid adenoma in upper pole of left lobe of thyroid. Ultrasonography abdomen and pelvis showed fibroids in the uterus. We referred to surgery department and Left superior parathyroid adenectomy done. Intraoperative findings are 17X10mm size lesion noted in left superior parathyroid gland. Post operative period is uneventful. Histopathological examination (HPE) confirmed the diagnosis of parathyroid adenoma. Patient had regular follow up with Endocrinology department. Patient had persistent hypertension even after surgery. Serum Calcium level were normal even 3 years after surgery during follow up.
Keywords Parathyroid adenoma, Primary Hyperparathyoidism, PTH, Tc99 Sesta MIBI scintigraphy, Parathyroidectomy
Field Medical / Pharmacy
Published In Volume 7, Issue 2, March-April 2026
Published On 2026-03-19
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E-ISSN 3048-7641
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