A ten-year study of all patients undergoing surgical treatment for hyperparathyroidism at Loma Linda University is presented. Clinical characteristics, laboratory analysis, differential diagnosis, associated diseases, operative techniques, and postoperative management of potential complications are evaluated. Some patients with secondary hyperparathyroidism underwent autotransplantation with good results; this technique is discussed. An approach is detailed that is successful in maintaining euparathyroidism.
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References
1.
. KeyesGRTentaLT: Diagnosis of parathyroid disorders. Otolaryngol Clin North Am1980; 13: 127–135.
2.
. SodemanWASodemanWAJr: Pathologic Physiology: Mechanisms of Disease, ed 4. 1974, pp 144–145, 183–185.
3.
. LeeDRBZawadaETKleemanCR: The pathophysiology and clinical aspects of hypercalcemia disorders. West J Med1978; 129: 278–320.
4.
. St GoarWT: Gastrointestinal symptoms as a clue to the diagnosis of primary hyperparathyroidism. Ann Intern Med1961; 107: 361–371.
. PrinzRPaloyanELaurenceAM: Radiation exposure and hyperparathyroidism. Clin Res1976; 24: 530A.
7.
. WalinderOJunghallSWibellL: Urinary excretion of cyclic AMP in hyperparathyroidism. Scand Urol Nephrol1978; 12: 67–71.
8.
. SpiegelAMMarxSJ: Parathyroid function after parathyroidectomy: Evaluation by measurement of urinary and c AMP clinical endocrinology. 1981;15: 65–73.
9.
. NathanielsEKNathanielsAMWangC: Mediastinal parathyroid tumors: Clinical and pathologic study of 84 cases. Ann Surg1970; 171: 165–171.
. HolmesECMortonDLKetchamAS: Parathyroid carcinoma: A collective review. Ann Surg1969; 169: 631–640.
12.
. HalstedWSEvansHM: The parathyroid glandules: Their blood supply and their preservation in operations on the thyroid gland. Ann Surg1907; 46: 489–506.
13.
. WellsSARossASDaleJK: Transplantation of the parathyroid glands: Current status. Surg Clin North Am1979; 59: 167–177.
14.
. WellsSAGunnellsJCGutmanRA: The successful transplantation of frozen parathyroid tissue in man. Surgery1980; 81: 86–90.
15.
. BrennanMFBrownEMSpiegelAM: Autotransplantation of cryo-preserved parathyroid tissue in man. Ann Surg1979; 189: 139–143.
