Vol.95 No.5 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 5 May 2002
Clinical Study of Surgically Treated Cases of Primary
Hyperparathyroidism
Yasuyuki Hiratsuka, Ryo Asato, Shinzo Tanaka,
Hisayoshi Kojima and Juichi Ito
(Kyoto University Graduate School of Medicine)
Thirty patients with primary hyperparathyroidism (PHPT), who were all surgically treated with a parathyroidectomy, were retrospectively studied. Ultrasonography was the most useful preoperative imaging. Pathological findings revealed 28 adenomas, 1 hyperplasia, and 1 carcinoma. In all cases, only one swollen gland was removed, and values of serum calcium and parathyroid hormone were normalized after surgical treatment. There were no significant postoperative problems. The suggested treatment for PHPT is the extirpation of one swollen gland, which is detected with preoperative imagings.
Key words : primary hyperparathyroidism, parathyroidectomy, ultrasonography