A modern approach to the diagnosis and management of primary hyperparathyroidism
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2011, Vol 28, Issue 1
Abstract
Primary hyperparathyroidism (pHPT) is currently being diagnosed with increased frequency. This short review demonstrates why surgery is the only curative treatment for patients with pHPT, and why intra-operative measurement of parathyroid hormone (PTH) may not be necessary in all cases of parathyroidectomy. The majority of parathyroid adenomas can be detected by pre-operative localization with 99mTc-sestamibi and or neck ultrasound (US). The development of focused parathyroidectomy and other minimally invasive techniques has rendered day-case parathyroidectomy a safe and feasible procedure. Parathyroidectomy, either unilateral or bilateral, when considered necessary, should be performed by an experienced parathyroid surgeon.
Authors and Affiliations
G. WISHART, V. PITSINIS
Keywords
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