when primary hyperparathyroidism occurs in the absence of a definite history of polyendocrine or familial disease , only the glands that are definitely enlarged should be removed , and normal-appearing glands should be tagged rather than risk the possibility of permanent hypoparathyroidism that may attend routine subtotal parathyroid gland excision .
C0020626
hypoparathyroidism
C0030518
parathyroid gland