Complex Primary Hyperparathyroidism: Hereditary and Recurrent Disease.
Surg Clin North Am
; 104(4): 811-823, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-38944501
ABSTRACT
Primary hyperparathyroidism can be sporadic or part of a genetic syndrome, such as MEN1 or HPT-JT. Diagnosis of hereditary HPT requires a thorough history and physical. Parathyroidectomy is curative with greater than 95% success. However, some patients have persistent or recurrent disease requiring reoperation. Reoperative parathyroidectomy is technically challenging, and localizing the pathologic gland can difficult. Patients needing reoperation should undergo evaluation by a high-volume surgeon. Care should be taken to obtain all of the preoperative workup and operative note from the initial surgery. Radioguided parathyroidectomy can be safely and effectively performed in patients with hereditary HPT or undergoing reoperative surgery.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Recidiva
/
Paratireoidectomia
/
Hiperparatireoidismo Primário
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article