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30-Jan-2011
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Arch Hellen Med, 28(1), January-February 2011, 39-44 REVIEW A modern approach to the diagnosis and management of primary hyperparathyroidism G.C. Wishart,1,2 V. Pitsinis2 |
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.
Key words: Focused parathyroidectomy, Primary hyperparathyroidism.
