In 2014, the fourth international workshop released guidelines for the surgical management of asymptomatic PHPT
Guidelines for surgery in asymptomatic PHPT include:
Age less than:
50 years old
A serum calcium measurement:
1.0 mg/dL (0.25 mmol/L) above the upper limit of normal
Bone mineral density by dual-energy x-ray absorptiometry (DXA):
With a T-score < −2.5 at lumbar spine, total hip, femoral neck, or distal 1/3 radius
Vertebral fracture on x-ray, computed tomography (CT), magnetic resonance imaging (MRI)
24-h urine for calcium:
> 400 mg/day (>10 mmol/day)
Increased risk of stone formation on biochemical stone risk analysis, or the presence of nephrolithiasis or nephrocalcinosis on x-ray, ultrasound, or CT
For patients with PHPT who do not undergo surgery:
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
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Rodrigo Arrangoiz MS, MD, FACS, FSSO 