RARE AND DEMANDING: PARATHYROID ADENOMA LOCALIZATION, SURGERY AND OUTCOME.

Objectives: We report our experience with parathyroid adenoma localization and surgical removal Patients and methods: Between June 2017 and June 2019, we had operated 8 cases of parathyroid adenoma. Three patients were males and 5 patients were females. Age ranged from 26 year old to 72 year old with average of 42 year old. Results: preoperative localization was achieved in 7 patients (87%) and intraoperative localization in one case (13%). Seven cases (87%) were sporadic while one case was part of MEN2a. Single adenoma was found in 6 patients (75%) and two adenomas in two patients (25%). The adenomas were located in the neck in 7 patients ( 87%) and in the anterior mediastinum in one patient ( 13%). Surgical removal of the adenomas was done without difficulties in all the cases through a neck incision in 7 cases and midline sternotomy in one patient. All the patients had resolution of symptoms within the follow up period. Conclusion: parathyroid surgery is one of the challenging procedures, but with adequate localization and technique, the outcome can be excellent for the patient.