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parathyroid gland

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Parathyroid gland

An endocrine organ usually associated with the thyroid gland and possessed by all vertebrates except the fishes. In response to lowered serum calcium concentration, a hormone is produced which promotes bone destruction and inhibits the phosphorus-conserving activity of the kidneys. See Thyroid gland

Common positions of human parathyroid glands on the posterior aspect of the thyroidenlarge picture
Common positions of human parathyroid glands on the posterior aspect of the thyroid

In humans, there are typically four glands situated as shown in the illustration; however, the number varies between three and six, with four appearing about 80% of the time. Variations in the positioning of the glands along the craniocaudal axis occur but, excepting parathyroid III which may occasionally be found upon the anterior surface of the trachea, the relation to the posterior surface of the thyroid is rarely lost.

The parathyroid glands are essential for the regulation of calcium and phosphate concentrations in the extracellular fluids of amphibians and higher vertebrates. Parathyroid hormone has two major target organs, bone and kidney. It acts on bone in several ways. Short-term changes include a rapid uptake of bone fluid calcium into osteoblast cells, which in turn pump the calcium into the extracellular fluids. Long-term effects include increased activity and number of osteoclasts, bone cells which act to break down bone matrix and release calcium from bone. All of these effects result in increased blood calcium values. See Bone, Calcium metabolism

Parathyroid hormone inhibits the renal reabsorption of phosphate, thus increasing the urinary output of phosphate. Phosphate reabsorption across the renal tubule is dependent upon sodium transport, and parathyroid hormone interferes with this sodium-dependent phosphate transport in the proximal tubule. Another important effect of parathyroid hormone on the kidney is to increase the renal reabsorption of calcium, thus reducing the loss of calcium in the urine and conserving calcium in the body. See Kidney

Finally, there are reports that parathyroid hormone indirectly stimulates calcium uptake into the body across the intestine. Parathyroid hormone stimulates the production of the most active metabolite of vitamin D, 1,25-dihydroxycholecalciferol, during vitamin D synthesis. This metabolite of vitamin D directly stimulates the intestinal absorption of calcium. See Endocrine system (vertebrate), Parathyroid hormone

McGraw-Hill Concise Encyclopedia of Bioscience. © 2002 by The McGraw-Hill Companies, Inc.

parathyroid gland

[¦par·ə′thī‚rȯid ‚gland]
(anatomy)
A paired endocrine organ located within, on, or near the thyroid gland in the neck region of all vertebrates except fishes.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
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References in periodicals archive
Cystic parathyroid adenomas are traditionally believed to represent a small percentage of PHPT cases.
The BRAF V600E and parathyroid classifiers were designed to further reduce unnecessary surgeries in thyroid cancer diagnosis and guide appropriate treatment for patients whose thyroid nodules are likely cancerous.
This is a descriptive case series of parathyroid adenoma, we reviewed the data of non randomized consecutive patients who underwent parathyroidectomy for parathyroid adenoma in our hospital.
Patients with hypocalcaemia, abnormal parathyroid hormonal levels & with any history of surgery in neck (Other than hemithyroidectomy for thyroid disorders) were excluded from the study.
The most common methods used in the imaging of parathyroid adenomas are ultrasonography (USG) and Tc-99m sestamibi scintigraphy (MIBI).
The intraoperative parathyroid hormone (PTH) assay (quick PTH) has been used as a reliable and rapid method to detect hypoparathyroidisim.
A 10-year prospective study of primary hyperparathyroidism with or without parathyroid surgery.
With regard to these findings, a neck ultrasound showed no evidence of a parathyroid adenoma.
In this study, we are presenting the focused parathyroidectomy under sonar guidance indicated for parathyroid adenoma.
The cervical-thoracic magnetic resonance image revealed a nodule of 36 mm in the major axis sitting in the left parathyroidal lobe (Figure 1.A and B) evoking a parathyroid adenoma given to the clinical and biological context.
An increased parathyroid hormone (PTH) concentration distinguishes PHP from hypoparathyroidism.
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