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Jay K. Harness, MD, FACS; Stephen R. Ramsburg, MD; Ronald H. Nishiyama, MD; Norman W. Thompson, MD, FACS

Arch Surg. 1979;114(4):468-474.

Abstract
• Since Cope's original description of chief cell hyperplasia in 1958, there has been general agreement that this entity is the most common cause of multiple parathyroid enlargement. Whether or not multiple adenomas of the parathyroid glands ever occur has been seriously questioned. Criteria are proposed for defining the entity of multiple parathyroid adenomas in contrast with hyperplasia. With the use of these criteria, five patients with multiple adenomas were found in our last 300 cases of primary hyperparathyroidism.

(Arch Surg 114:468-474, 1979)

Author Affiliations
From the Section of General Surgery (Drs Harness, Ramsburg, Thompson) and the Department of Pathology (Dr Nishiyama), University of Michigan Medical Center, Ann Arbor.

Footnotes
Accepted for publication Dec 18, 1978.

Read before the 86th annual meeting of the Western Surgical Association, Scottsdale, Ariz, Nov 14, 1978.

Reprint requests to Room B4963, Clinical Faculty Office Bldg, University Hospital, 1405 E Ann St, Ann Arbor, MI 48109 (Dr Harness).

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