Treatment of Parathyroid Adenoma in Germany
Best hospitals and doctors for parathyroid adenoma treatment in Germany
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Department of General and Abdominal Surgery
Department of Abdominal, Thoracic and Vascular Surgery
Department of Abdominal and Colorectal Surgery, Hepatobiliary Surgery, Hernia Surgery, Bariatric Surgery, Endocrine Surgery, Thoracic and Vascular Surgery
Department of General and Abdominal Surgery
Department of Adult and Pediatric General, Abdominal, Transplant Surgery
Department of General, Abdominal, Adult and Pediatric Transplant Surgery
Department of General, Abdominal and Thoracic Surgery
Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery
Department of General, Abdominal, Vascular and Endocrine Surgery
Department of Adult and Pediatric General, Abdominal, Hepatobiliary, Endocrine, Thoracic and Hernia Surgery
Department of General, Abdominal and Pediatric Surgery
Department of General, Abdominal and Transplant Surgery
Department of General, Abdominal, Thoracic and Transplant Surgery
Department of General, Abdominal, Endocrine, Colorectal and Bariatric Surgery
Department of Endocrine Surgery
A parathyroid adenoma is a benign tumor of this organ that impairs calcium metabolism due to the increased production of a parathyroid hormone. It is the adenoma that causes 90% of all cases of hyperparathyroidism. The disease most often develops between the ages of 50 and 70 years. THe disease affects women three times more often than men. In Germany, parathyroid adenomas are successfully treated with minimally invasive surgery.
The disease is treated surgically, most often it is a minimally invasive operation. After the adenoma removal surgery, parathyroid hormone and calcium levels in the blood return to the normal ones.
You can undergo your treatment in one of the following hospitals: Hospital Neuperlach Munich, University Hospital Ulm, or University Hospital Frankfurt am Main.
You do not have to take care of the organizational issues because the Booking Health company will fully arrange your trip. The company's specialists will recommend the most suitable clinic and doctor for you, help you to apply for a visa and get medical insurance, book airline tickets, translate medical records into German, and control the cost of procedures. You can contact your personal medical coordinator for any questions that may arise.
What is parathyroid adenoma?
The parathyroid glands are small and oval-shaped organs located near the thyroid gland. About 85% of people have 4 glands, 2 of which are located at the top and 2 are found at the bottom. The superior parathyroid glands are usually located on the posterolateral surface of the middle and superior lobes of the thyroid gland. The location of the inferior parathyroid glands is variable. They are most often localized in the lower third of the thyroid gland.
A normal parathyroid gland is about the size of an apple seed and weighs approximately 0,5g. Microadenomas are defined as tumors, whose weight is less than 0,1g, while giant adenomas weight is more than 2g. The average weight of an adenoma is 1g.
The glands secrete a parathyroid hormone, and patients with the adenoma have too much of it. This hormone plays a vital role in the metabolism of calcium and phosphorus in the kidneys, intestine and bones. A pathological hyperproduction of parathyroid hormones causes an inadequate increase in calcium levels with the depletion of phosphate reserves. Patients develop the following symptoms:
- bone pain;
- neuropsychiatric disorders.
Kidney stones often form. A sharp increase in calcium levels may cause severe complications, such as arrhythmias, coma, and even death.
The treatment of parathyroid adenoma in Germany is surgical. Doctors mobilize the thyroid gland, after which detect and remove the enlarged parathyroid glands. It is best to be treated by an experienced surgeon to minimize the risk of lesions of the recurrent laryngeal nerves.
German doctors perform the operation with the use of safe and minimally traumatic techniques. The parathyroid glands can be removed from a video-assisted mini-access through an incision up to 2cm long. Once the operation is completed, surgeons apply an intradermal cosmetic suture, which eliminates the appearance of a large scar and improves the aesthetic result of the operation.
The results of the operation are monitored using laboratory diagnostics immediately, even before its completion. Doctors check the parathyroid hormone levels. After the parathyroid gland removal, they should be decreased by at least half within 10 minutes. If there is no such a decrease, this indicates that the patient also has other parathyroid glands, which are located in an unusual place.
The surgeon looks for these glands to remove them. The accessory parathyroid glands may be located in the pharynx, behind the esophagus, in the posterior mediastinum, in the thymus, within the thyroid capsule, or in the carotid sheath.
The risk of complications depends on the surgeon's experience and skills.
The most common complication during the adenoma removal is a recurrent laryngeal nerve injury. It may be unilateral or bilateral. The unilateral injury results in hoarseness, while the bilateral one causes breathing problems.
Both intersection and stretching of the nerve may lead to its injury. It may also be compressed or thermally damaged. If the nerve is not completely intersected, but only squeezed or stretched, then the symptoms disappear after 1-1,5 months. However, if the symptoms persist for more than 6 months, the chances of the nerve recovery are close to zero, since it is completely intersected with a high probability.
During the operation, the surgeon can notice the nerve injury and suture it together in order to ensure its follow-up regeneration.
Both conventional and minimally invasive operations provide patients with approximately the same risk of complications and the likelihood of cure for parathyroid adenoma. The success of the surgical treatment is on average 95%, and in the best clinics in Germany this indicator reaches 98%. The probability of developing complications is on average 3%, and in the specialized Head and Neck Surgery Centers it is less than 1%.
The minimally invasive approach is considered to be the preferred technique in Germany. First of all, its advantage lies in the best aesthetic outcome: there are no large scars on the neck. Other benefits include less postoperative discomfort and a faster rehabilitation.
After the treatment, the calcium levels in the patient's blood decrease and return to their normal indicators after 2-4 days. If they decrease too much, calcium gluconate therapy will be carried out. Over time, the blood calcium levels may return to normal, but some patients will need a long-term intake of oral calcium supplements to increase blood calcium levels.
If you are going to have your parathyroid adenoma treatment in one of the German hospitals, you are welcome to use the Booking Health service. You can compare the cost of treatment and make an appointment at the best price. The Booking Health staff will help you to choose the most suitable clinic in Germany and arrange your trip.
The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!