Abstract
A retrospective review was performed on 20 patients with primary hyperparathyroidism who were initially treated at our hospital between 2007 and 2013. The 20 patients (6 men and 14 women) ranged in age from 41 to 84 years (average: 60.6). Histological examinations revealed 18 parathyroid adenoma, 1 parathyroid carcinoma and one case was not searched. Ultrasonography, CT scan and 99mTcMIBI scintigraphy in almost cases were found to be the most useful modalities for a localized diagnosis. The serum calcium levels were normalized in 19 cases, and not normalized in one case. This case was complicated with a thyroidal nodule, and it was difficult to diagnose the localization. Even if a localized diagnosis technology is developed, it might not be possible to operate by a focused approach, and so a bilateral neck exploration should always be considered.
