Abstract
SUMMARYThirty‐three cases of primary hyperparathyroidism have been followed up after initial diagnosis for a mean period of 5 years and 5 months. The recurrence rate over the follow‐up period was 15%. Recurrence was limited to cases with involvement of other endocrine glands, a family history of hyperparathyroidism or multiple involvement of the parathyroid glands discovered at operation. These three factors can therefore be regarded as prognostic indices of a high recurrence risk; they are common, occurring in an estimated 39% of cases. When they exist, an attempt to visualize all parathyroid tissue at operation should be made and, if multiple gland involvement is present, the treatment of choice is subtotal para‐thyroidectomy.
Published Version
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