Diagnosis and Treatment of Primary Hyperparathyroidism

Abstract

Objective To explore the diagnosis and treatment of primary hyperparathyroidism(PHPT). Methods Clinical data of 7 cases of PHPT were retrospectively analysed. Results 6 cases had parathyroidoma,and 1 case was parathyroid carcinoma. In the 6 parathyroidoma patients, 3 were with bone lesions and the other 3 with bone lesions and urinary calculus, All the a cases were misdiagnosed and underwent parathyroid adenoma resection,none of them had recurrence. The parathyroid carcinoma patient was admitted to the hospital for three times because of hypercalcemia crisis.The patient underwent 3 times operation,and died of extensive metastasis 23 month after the first operation. Conclusions To improve the diagnosis rate of PHPT, PHPT , outpatients with chronic waist-leg pain, recurrent urologic stone, acute pancreatitis and ulcer should check the level of Ca 2+ ,P 3- ,Cl - and AKP in the blood . Once the diagnosis is certain, the operation can be performed.