Complex Primary Hyperparathyroidism: Hereditary and Recurrent Disease.

Balachandra, Sanjana; Fazendin, Jessica; Chen, Herbert

Balachandra, Sanjana; Fazendin, Jessica; Chen, Herbert.

Afiliación

Balachandra S; Division of Breast and Endocrine Surgery, Department of Surgery, University of Alabama Birmingham, 1808 7th Avenue South, Suite 505, Birmingham, AL 35294, USA.
Fazendin J; Division of Breast and Endocrine Surgery, Department of Surgery, University of Alabama Birmingham, 1808 7th Avenue South, Suite 505, Birmingham, AL 35294, USA.
Chen H; Division of Breast and Endocrine Surgery, Department of Surgery, University of Alabama Birmingham, 1808 7th Avenue South, Suite 505, Birmingham, AL 35294, USA. Electronic address: hchen@uabmc.edu.

Surg Clin North Am ; 104(4): 811-823, 2024 Aug.

Article en En | MEDLINE | ID: mdl-38944501

ABSTRACT

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.

Asunto(s)

Hiperparatiroidismo Primario; Paratiroidectomía; Recurrencia; Humanos; Hiperparatiroidismo Primario/cirugía; Hiperparatiroidismo Primario/diagnóstico; Hiperparatiroidismo Primario/genética; Paratiroidectomía/métodos; Reoperación; Neoplasias de las Paratiroides/cirugía; Neoplasias de las Paratiroides/genética; Neoplasias de las Paratiroides/diagnóstico; Neoplasias de las Paratiroides/complicaciones

Palabras clave

Familial hyperparathyroidism; Persistent hyperparathyroidism; Primary hyperparathyroidism; Recurrent hyperparathyroidism; Reoperative parathyroidectomy

Texto completo

Añadir a Mi BVS

Imprimir

XML

PubMed Links

Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recurrencia / Paratiroidectomía / Hiperparatiroidismo Primario Límite: Humans Idioma: En Revista: Surg Clin North Am Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo

Añadir a Mi BVS

Imprimir

XML

PubMed Links

Buscar en Google