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Surgery pp 1189-1210 | Cite as

Parathyroid

  • Matthew B. Bloom
  • Jeffrey A. Norton

Abstract

In their studies of anatomy, early pathologists failed to immediately recognize the distinct entities of the parathyroid glands. It was not until 1850 that the organ was first described during the necropsy of an Indian rhinoceros at the London Zoo.1 Seventy-five years later, the first surgery for hyperparathyroidism was performed in Vienna by Dr. Felix Mandl on a trolley-car operator with severe osteitis fibrosa cystica known as “Albert J.”2, 3, 4 One enlarged gland was removed, and Albert had symptomatic improvement for about 6 years until his bone disease recurred. In 1926, a second parathyroid surgery was performed without any prior knowledge of Albert’s case. This time, surgeons at the Massachusetts General Hospital explored the neck of Captain Charles Martell, a merchant marine who suffered severe back and leg pain, fractures of his arms and legs, kyphoscoliosis, urinary calculi, hypercalcemia, and hypophosphatemia.5,6 The initial exploration and five subsequent operations revealed only normal parathyroid glands. Only during a seventh surgery was a large parathyroid adenoma identified in Captain Martell’s mediastinum. Ninety percent of this enlarged gland was resected while a small remnant was intentionally left behind.

Keywords

Parathyroid Gland Recurrent Laryngeal Nerve Primary Hyperparathyroidism Parathyroid Adenoma Parathyroid Carcinoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Matthew B. Bloom
    • 1
  • Jeffrey A. Norton
    • 2
    • 3
  1. 1.Department of SurgeryStanford UniversityStanfordUSA
  2. 2.Department of SurgeryStanford University Medical CenterStanfordUSA
  3. 3.Divisions of Surgical Oncology and General Surgery, Department of SurgeryStanford University Medical CenterStanfordUSA

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