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Subtotal Parathyroidectomy for Tertiary Hyperparathyroidism: a Case Report and Literature Review
Int J Thyroidol 2019;12(2):132-136
Published online November 30, 2019;
© 2019 Korean Thyroid Association.

Younil Jang1, Gheun-Ho Kim2, Jung Hwan Park2 and Kyung Tae1

Departments of Otolaryngology-Head and Neck Surgery1 and Internal Medicine2, College of Medicine, Hanyang University, Seoul, Korea
Correspondence to: Kyung Tae, MD, PhD, Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea
Tel: 82-2-2290-8585, Fax: 82-2-2293-3335, E-mail:
Received October 15, 2018; Revised May 22, 2019; Accepted July 30, 2019.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Despite the correction of secondary renal hyperparathyroidism after successful kidney transplantation, some recipients have persistent hyperparathyroidism due to autonomous hypertrophied parathyroid glands. St. Goar first identified and termed this disease as tertiary hyperparathyroidism. Surgery, either subtotal parathyroidectomy or total parathyroidectomy with autotransplantation, is the main treatment for tertiary hyperparathyroidism. Here, we report a case of a patient with tertiary hyperparathyroidism after two times of kidney transplantation who underwent subtotal parathyroidectomy and also review the relevant literature.
Keywords : Hyperparathyroidism, Kidney transplantation, Parathyroidectomy

November 2019, 12 (2)