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Parathyroid Adenoma and What you need to Do If you are told you had High Calcium, and a possible Parathyroid Adenoma before you submit to surgery? Come to see me, or one of our ACT members (www.thyroidologists.com). We can find the adenoma by High Frequency Ultrasound. Experience is needed to find the Adenoma. Even if the prior ultrasound you might have had was negative, we have a good chance to find the abnormal parathyroid gland. Once we find the adenoma, we can do US guided FNA, and washings for PTH. Also, pre- and post biopsy Blood calcium can help decide if you have one or more tumors. Parathyroid scans are difficult to read, and may confuse rather than help. 15 Mhz probe clearly locates a parathyroid adenoma in the lower pole of the right lobe of the thyroid gland. There is a polar artery feeding the tumor, located in the right side of the picture. The calcium was 11.2 before and 11.2, 30 minutes after the biopsy. The cells were consistent with an adenoma, and the washings for PTH was elevated confirming a parathyroid adenoma. There was no decrease seen in serum calcium levels suggest multiple glands involved, not a single adenoma. This was evidence that there were more than on abnormal gland producing PTH. At surgery there was multiple gland hyperplasia, and a complete exploration was needed. If the calcium had declined, it would fit with a single adenoma, that was disrupted in PTH production to cause a transient decline in calcium. Single gland disease can be rapidly cured by minimally invasive surgery. Check out www.parathyroid.com for Dr.Norman's information. If there are multiple glands, a full exploration will be needed. Parathyroid Adenoma Directly Below:
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