Predictors of Multigland Disease in Hyperparathyroidism

  • No study has yet identified a reliable predictor:
    • For determining which patients with sporadic hyperparathyroidism:
      • Will have multigland disease:
        • The exception is in familial, secondary, and tertiary hyperparathyroidism:
          • Because of the nearly uniform incidence of four-gland hyperplasia:
            • All these patients are managed with bilateral neck exploration:
              • And either total parathyroidectomy with autotransplantation or three-and-a-half gland parathyroidectomy
  • Although some surgeons believe that patients with higher preoperative PTH or calcium levels (or both):
    • Are more likely to have multi-gland disease:
      • This has not been proved to be true in clinical studies

#Arrangoiz #ParathyroidSurgeon #ParathyroidExpert #Hypercalcemia #PHPT #Hyperparathyroidism #PrimaryHyperparathyroidism #EndocrineSurgery #HeadandNeckSurgeon #CancerSurgeon #Surgeon #Teacher #Miami #Mexico #MountSinaiMedicalCenter #MSMC

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