Abstract
We have experienced six cases of primary hyperparathyroidism in our hospital which were treated with surgery, comprising 4 females and 2 males. Clinically, hyperparathyroidism is classified under three types (the bone, biochemical and renal types). Our patients consisted of 2 bone types, 4 biochemical types, and no renal type. Preoperatively, serum calcium and intact parathyroid hormone (I-PTH) levels were elevated and ultrasound echo and Tc-MIBI scintigraphy were performed for all cases. Based on the preoperative examination, we decided on the surgical technique. A circumscriptive parathyroidectomy was performed in all patients. The postoperative pathological examination revealed that the tumors in all patients were adenomas, which was in accord with the preoperative consideration in all cases. Serum calcium and I-PTH levels decreased to within normal limits after the operation. Now all cases are under observation as outpatients. There has been no recurrence or elevation of the serum calcium and I-PTH levels.
