Parathyroid disease
Primary hyperparathyroidism
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      Generally, a single adenoma is responsible for about 85-90% of 1°HPT. About 10-15% of patients have multigland parathyroid disease, with about 10% having hyperplasia (where all the glands are mildly enlarged and overactive) and about 5% of patients having double adenomas (2 discrete glands are pathologically enlarged). Parathyroid cancer is very rare, with an incidence of about 1 in 1-2 million cases. 
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