Surgical Management of Primary Hyperparathyroidism

2005 ◽  
Vol 242 (6) ◽  
pp. 904-905
Author(s):  
Charles A. G. Proye
Keyword(s):  
Primary Hyperparathyroidism ◽  
Surgical Management

Skeletal effects of combined medical and surgical management of primary hyperparathyroidism

Surgery ◽  
2020 ◽  
Vol 167 (1) ◽  
pp. 144-148
Author(s):  
Lauren E. Orr ◽  
Hui Zhou ◽  
Catherine Y. Zhu ◽  
Philip I. Haigh ◽  
Annette L. Adams ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Surgical Management ◽  
Skeletal Effects

Surgical Management of Normocalcemic Primary Hyperparathyroidism and the Impact of Intraoperative Parathyroid Hormone Testing on Outcome

2018 ◽  
Vol 159 (4) ◽  
pp. 630-637 ◽  
Author(s):  
Gina Trinh ◽  
Eleni Rettig ◽  
Salem I. Noureldine ◽  
Jonathon O. Russell ◽  
Nishant Agrawal ◽  
...  
Keyword(s):  
Parathyroid Hormone ◽  
Primary Hyperparathyroidism ◽  
Surgical Management ◽  
Intraoperative Parathyroid Hormone ◽  
The Impact

Severe Hypercalcemia due to Primary Hyperparathyroidism with MEN 2A

2010 ◽  
Vol 2 (3) ◽  
pp. 131-133
Author(s):  
Geoffrey B Thompson ◽  
Benzon M Dy ◽  
Bianca Vazquez ◽  
Peter J Tebben ◽  
Seema Kumar
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Surgical Management ◽  
Clinical Presentation ◽  
Clinical Manifestations ◽  
Mineral Density ◽  
Normal Range ◽  
Rare Presentation ◽  
Severe Hypercalcemia ◽  
Men 2A

ABSTRACT Introduction Severe hypercalcemia due to primary hyperparathyroidism (PHPT) is rare in the setting of MEN 2A. Materials and methods Two patients with MEN 2A and severe hypercalcemia were identified recently. Their clinical presentation, evaluation, surgical management and outcomes are reviewed. Results Two patients with MEN 2A were identified with severe hypercalcemia secondary to a parathyroid adenoma. Calcium levels were elevated to 12.7 mg/dL and 15.1 mg/dL, respectively (normal range = 8.9-10.1 mg/dL). In each case, a single parathyroid adenoma was identified and surgically excised with normalization of parathyroid and calcium levels postoperatively. Clinical manifestations at the time of diagnosis included constipation, polyuria, hypercalciuria, and decreased bone mineral density. Conclusion Severe elevation of serum calcium is a rare presentation of PHPT in MEN2A. The differential diagnosis should include parathyroid adenoma, hyperplasia and parathyroid carcinoma. Early surgical management is essential in the treatment of hyperparathyroidism with severe hypercalcemia to prevent further complications.

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