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PubMed · 12803017

Current issues in hyperparathyroidism.

Greg A Krempl·Jesus E Medina
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Abstract

There has been a shift in the referral patterns in recent years that has resulted in increasing numbers of patients being referred to surgeons with a diagnosis of hypercalcemia rather than primary hyperparathyroidism. The surgeon must perform a thorough history, including medications, and laboratory assessment, including serum calcium and parathyroid hormone measurements. A 24-hour urinary calcium excretion should be routinely ordered to exclude FHH. After the diagnosis of primary hyperparathyroidism is made, preoperative localization studies will benefit 78% to 90% of patients, with sestamibi scan being the most commonly used.

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AdenomaHumansHypercalcemiaHyperparathyroidismMinimally Invasive Surgical ProceduresParathyroid HormoneParathyroid NeoplasmsParathyroidectomyPreoperative CareReferral and ConsultationJournal ArticleReview

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Greg A Krempl, Jesus E Medina. 2003. Current issues in hyperparathyroidism.. https://doi.org/10.1016/s0030-6665(02)00154-8

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