ENDOCRINE CARE

Parathyroid

Diagnosis and management of parathyroid adenoma

A parathyroid adenoma refers to a non-cancerous tumour that develops on one of the parathyroid glands. The parathyroid glands are located close to the thyroid gland and produce a chemical known as parathyroid hormone, which helps to regulate the levels of calcium and phosphorus in the blood. When an adenoma affects these glands, more parathyroid hormone is produced than normal, disrupting the balance of calcium and phosphorus in the blood, and hyperparathyroidism develop. If Dr Roodt suspects you may have an adenoma, she will perform blood tests as well as an ultrasound and special scan to help her make an accurate diagnosis and localize the lesion. Treatment of the condition typically involves the surgical removal of the parathyroid adenoma by means of a focused parathyroidectomy as well as further follow-up by an endocrinologist.

Management of parathyroid hyperplasia

Parathyroid hyperplasia is a condition in which all parathyroid glands are abnormally enlarged. This is most commonly found in patients with renal failure. In these cases, we work closely with renal and endocrine physicians to determine the best course of action and timing of surgical removal of the parathyroid glands. Commonly 3.5 of the 4 glands are removed by means of a four gland parathyroid exploration.