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Year : 2020  |  Volume : 7  |  Issue : 2  |  Page : 97-100

Primary hyperparathyroidism: diagnostics and surgical management

1 Department of General Surgery, Regional Specialist Hospital, Częstochowa, Poland
2 Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland

Correspondence Address:
Dr. Leszek Sulkowski
Department of General Surgery, Regional Specialist Hospital, ul. Bialska 104/118, 42-218 Częstochowa.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mgmj.MGMJ_32_20

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Primary hyperparathyroidism is an endocrinological pathology of parathyroid glands. Its predominant form is a single parathyroid gland adenoma. We present a case of a 53-year-old patient, who was referred with primary hyperparathyroidism. She underwent ultrasound and sestamibi radionuclide scanning, and was offered surgery. The postoperative histopathological examination proved the presence of parathyroid gland adenoma. Patients managed with primary hyperparathyroidism require preoperative localization of enlarged, usually single parathyroid glands. Diagnostic modalities include ultrasounds, computed tomography scanning, and sestamibi radionuclide scanning. Parathyroidectomy is a recommended treatment modality for each stage of primary hyperparathyroidism, despite organ involvement, severity of hypercalcemia, and parathormone concentration. Significant bone remineralization is observed postoperatively. Preoperative localization of the enlarged parathyroid gland is crucial. Primary hyperparathyroidism requires surgery for definitive treatment. Surgery, although challenging, leads to a cure.

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