In case of parathyroid adenoma T/t is: (A) Calcitonin and steroid, (B) Removal of adenoma, (C) Total parathyroidectomy and implantation in arm, (D) Total parathyroidectomy
Answer is B. Ref: Harrison's 19th edition Pgno :2473-2475 Parathyroid adenoma causes primary Hyperparathyroidism A single parathyroid adenoma (85%) Resection Two adenomas(5%) Resection Hyperplasia of all four glands (10-15%) Resection of 3 1/2 glands Resection of all four glands with auto transplantation of a parathyroid gland in the forearm (brachioradialis) or SCM muscle