Primary hyperparathyroidism at the U.H.W.I

ABSTRACT

Twenty-two cases of primary hyperparathyroidism were seen at the University Hospital of the West Indies during the twelve year period, January, 1966, to December 1977. Three groups of patients were identified depending on the main symptom complex at presentation (1) renal calculi (2) bone pain and (3) symptoms of hypercalcaemia. All cases had elevated serum calcium levels. Twenty-one patients were found to have a single parathyroid adenoma at surgery and there was one case of hypersia. No cases with the multiple endocrine adenoma syndrome were identified. The pathology of the disease is described, aspects of diagnosis are outlined and methods of tumour localization are discussed (AU)