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Medical and Surgical Treatment of Parathyroid Diseases pp 281–303Cite as

Surgery for Ectopic Parathyroid

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Abstract

In 1927 Captain Charles Martell underwent the first cervical exploration for diagnosed primary hyperparathyroidism in America, but it did not identify an abnormal parathyroid gland. Multiple additional unsuccessful operations ensued until the patient himself insisted upon a mediastinal exploration to his surgeons after researching variable parathyroid gland anatomy at the Harvard Medical School library. At the 7th operation a 3 cm mediastinal parathyroid adenoma was resected. Unfortunately, the patient died from complications following ureteral stone surgery 6 weeks later. The sad saga of Captain Martell underscores the importance of understanding the variability of parathyroid anatomy and the locations of ectopic parathyroid glands when anticipating parathyroidectomy surgery for hyperparathyroidism [1, 2].

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  1. Endocrine Surgery, Baylor Scott & White Health/ Texas A&M University College of Medicine, 2401 South 31st Street, Temple, TX, 76508, USA

    Samuel K. Snyder

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  1. Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

    Brendan C. Stack, Jr.

  2. Department of Geniatrics and Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

    Donald L. Bodenner

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Snyder, S.K. (2017). Surgery for Ectopic Parathyroid. In: Stack, Jr., B., Bodenner, D. (eds) Medical and Surgical Treatment of Parathyroid Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-26794-4_25

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  • DOI: https://doi.org/10.1007/978-3-319-26794-4_25

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