title: [Parathyromatosis: An uncommon cause of recurrent hyperparathyroidism].
abstract: BACKGROUND
  Parathyromatosis is a rare cause of recurrent hyperparathyroidism. It results from hyperfunctioning parathyroid tissue scattered throughout the thyroid bed region.
  
  
  METHODS
  A 51-year-old man with a history of parathyroidectomy, presented 18 years later with recurrent primary hyperparathyroidism. Surgical exploration identified a single parathyroid gland. The act was completed by a central compartment dissection and ipsilateral lobectomy. The patient was free of recurrence after a one-year follow-up.
  
  
  CONCLUSIONS
  Parathyromatosis a rare cause of recurrent hyperparathyroidism. Its management is challenging. Extensive surgery is required with clearance of the central neck compartment and homolateral lobectomy. Medical therapy could be used to decrease parathormone level in recurrent parathyromatosis.
authors.affiliation: Service ORL, chirurgie cervico-faciale, CHU Habib Bourguiba, 3029 Sfax, Tunisie. Electronic address: imenachour2@gmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Achour
authors.affiliation: Laboratoire d'anatomie et de cytologie pathologiques, CHU Habib Bourguiba, 3029 Sfax, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Charfi
authors.affiliation: Service ORL, chirurgie cervico-faciale, CHU Habib Bourguiba, 3029 Sfax, Tunisie.
authors.forename: M A
authors.initials: MA
authors.lastname: Chaabouni
authors.affiliation: Service ORL, chirurgie cervico-faciale, CHU Habib Bourguiba, 3029 Sfax, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Chakroun
authors.affiliation: Service de médecine nucléaire, CHU Habib Bourguiba, 3029 Sfax, Tunisie.
authors.forename: F
authors.initials: F
authors.lastname: Guermazi
authors.affiliation: Service ORL, chirurgie cervico-faciale, CHU Habib Bourguiba, 3029 Sfax, Tunisie.
authors.forename: B
authors.initials: B
authors.lastname: Hammami
authors.affiliation: Service ORL, chirurgie cervico-faciale, CHU Habib Bourguiba, 3029 Sfax, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Ghorbel
mesh_terms: D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology* / Q000473:pathology; D006965:Hyperplasia / Q000150:complications; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000378:metabolism / Q000473:pathology*; D010281:Parathyroid Hormone / Q000378:metabolism; D012008:Recurrence
chemical_list: D010281:Parathyroid Hormone
keywords: Chirurgie; Glande parathyroïde; Hyperparathyroidism; Hyperparathyroïdie primaire; Parathyroid glands; Parathyroidectomy; Parathyroïdectomie; Surgery