Surgical treatment of primary hyperparathyroidism: A clinical study

Abstract

A parathyroid tumor that induces hyperparathyroidism is a relatively rare disease. However, the numbers being detected have been increasing due to asymptomatic hyperparathyroidism cases discovered by a high value of serum calcium, or by ultrasonography introduced into examinations and clinical surveys.
In this report, a retrospective analysis was performed on 18 patients who have had hyperparathyroidism for the last decade. We analyzed preoperative inspections that detect lesions causing hyperparathyroidism and also pathology. We investigated preoperative and postoperative values of serum intact PTH, calcium (Ca), and phosphorus (P).
In addition, we examined the predictive factor of hungry bone syndrome, which is one of the postoperative complications of hyperparathyroidism.
As a result, it was suggested that ultrasonography, CT and MIBI scintigraphy were useful as preoperative inspections. It was also suggested that a high ALP value of blood could be a predictive factor of hungry bone syndrome.