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Distribution of the solitary adenoma over the parathyroid glands

Published online by Cambridge University Press:  29 June 2007

F. Debruyne*
Affiliation:
Department of Otorhinolaryngology. Head and Neck Surgery, University of Leuven, Leuven, Belgium.
F. Ostyn
Affiliation:
Department of Otorhinolaryngology. Head and Neck Surgery, University of Leuven, Leuven, Belgium.
P. Delaere
Affiliation:
Department of Otorhinolaryngology. Head and Neck Surgery, University of Leuven, Leuven, Belgium.
*
Address for correspondence: F. Debruyne, Otorhinolaryngology–Head and Neck Surgery, U.Z. St Rafael, Kapucijnenvoer 33, 3000 Leuven, Belgium. Fax: +32-16-33 23 35

Abstract

One hundred and ten patients with primary hyperparathyroidism were studied, in which a normal parathyroid gland was found on the same side as an adenoma (both confirmed by histological examination), and the upper or lower location could clearly be defined during surgery. The distribution of the adenomas over the upper and lower glands was unequal: 61.8 per cent in the superior versus 38.2 per cent in the inferior position. Statistical analysis revealed that this is not a random distribution (p = 0.013). The explanation of this relative predilection is unknown. The finding should not influence the surgical procedure for primary hyperparathyroidism

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

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