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OCR: There are three causes of ] per cent of hyperparathyroidism. Some eighty- five primary fone of thepatients have a single benign adenoma ainder four parathyroid glands. Most of the rem nds. have hyperplasia of four parathyroid gla with This occurs more commonly in patients s, and familial hyperparathyroidism syndrome docrine particularly in patients with multiple en of all neoplasia (MEN). Less than one per cent our patients have a carcinoma of one of the na seems parathyroid glands. In rare cases, carcino to follow a previous adenoma.