Double adenomas revisited: nonuniform distribution favors enlarged superior parathyroids (fourth pouch disease).

@article{Milas2003DoubleAR,
  title={Double adenomas revisited: nonuniform distribution favors enlarged superior parathyroids (fourth pouch disease).},
  author={Mira Milas and Kristin Wagner and Kirk A. Easley and Allan E. Siperstein and Collin J. Weber},
  journal={Surgery},
  year={2003},
  volume={134 6},
  pages={995-1003; discussion 1003-4}
}
BACKGROUND A double adenoma (DA) is a recognized clinical entity of primary hyperparathyroidism (HPT) and is presumed to have uniform location distribution. We reviewed our experience with 2-gland parathyroid disease to identify anatomic patterns and implications for surgical management. METHODS Clinical characteristics were reviewed for 828 consecutive patients with HPT at 2 endocrine referral centers that practice bilateral neck exploration with intraoperative parathyroid hormone (IOPTH… CONTINUE READING

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