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J R Soc Med. 1980 September; 73(9): 638–640.
PMCID: PMC1438188

Ectopic parathyroid adenomas1


Two cases of parathyroid tumours occurring in unusual situations are described. Such cases may cause difficulty in both the diagnosis and the surgical treatment of hyperparathyroidism. The cases described illustrate the importance of a definitive aetiological diagnosis in hypercalcaemia, if appropriate surgery is to be performed. The value of discriminant function analysis and hydrocortisone suppression tests are discussed.

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Selected References

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  • Dent CE, Watson L. The hydrocortisone test in primary and tertiary hyperparathyroidism. Lancet. 1968 Sep 21;2(7569):662–664. [PubMed]
  • Fraser P, Healy M, Rose N, Watson L. Discriminant functions in differential diagnosis of hypercalcaemia. Lancet. 1971 Jun 26;1(7713):1314–1319. [PubMed]
  • Fraser P, Watson L, Healy M. Further experience with discriminant functions in differential diagnosis of hypercalcaemia. Postgrad Med J. 1976 May;52(607):254–257. [PMC free article] [PubMed]
  • Pyrah LN, Hodgkinson A, Anderson CK. Primary hyperparathyroidism. Br J Surg. 1966 Apr;53(4):245–316. [PubMed]
  • Spiegel AM, Marx SJ, Doppman JL, Beazley RM, Ketcham AS, Kasten B, Aurbach GD. Intrathyroidal parathyroid adenoma or hyperplasia. An occasionally overlooked cause of surgical failure in primary hyperparathyroidism. JAMA. 1975 Dec 8;234(10):1029–1033. [PubMed]
  • Wang C. The anatomic basis of parathyroid surgery. Ann Surg. 1976 Mar;183(3):271–275. [PubMed]
  • Watson L, Moxham J, Fraser P. Hydrocortisone suppression test and discriminant analysis in differential diagnosis of hypercalcaemia. Lancet. 1980 Jun 21;1(8182):1320–1325. [PubMed]

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