GIANT PARATHYROID ADENOMA-A DIFFICULT DIAGNOSIS OR A LACK OF SPECIALIST TRAINING?

A clinical observation of a 48-year-old patient with a giant adenoma of the left lower parathyroid gland is presented. Peculiarities of preoperative planning of asymmetrical mini-access on the anterior surface of the neck and methodology of intraoperative optimization of the key parameters of surgical access in the process of tumor mobilization are shown. Considering the difficulties arising in the process of diagnostics and treatment of the disease, importance of additional information of wide range of specialists concerning clinical manifestations, peculiarities of diagnostics and treatment of patients with primary hyperparathyroidism on the background of the solitary parathyroid adenoma is pointed out. The expediency of additional specialization of surgeons within the framework of the multidisciplinary specialty "Surgical Cervicology", previously proposed by the authors, is emphasized. © 2023, Akra LLC. All rights reserved.