Abstract | BACKGROUND: METHODS: RESULTS: There were 164 patients with a mean follow-up of 83 months. In this group, 96% patients had single gland disease (SGD) and 4% had MGD. Five (3%) patients developed recurrent hyperparathyroidism at 2, 4, 9, 10, and 12 years. In 43 eucalcemic patients followed for >10 years, PTH levels remained normal in 54%, were constantly above normal range in 2%, or varied between normal and above normal range in 44%. CONCLUSION: In patients 10 years after treatment, IPM-guided parathyroidectomy does not fail to identify MGD, allows for limited dissection in SGD, and shows that various sized parathyroid glands left in situ do not cause higher recurrence rates.
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Authors | John I Lew, George L Irvin 3rd |
Journal | Surgery
(Surgery)
Vol. 146
Issue 6
Pg. 1021-7
(Dec 2009)
ISSN: 1532-7361 [Electronic] United States |
PMID | 19879612
(Publication Type: Journal Article)
|
Chemical References |
- Parathyroid Hormone
- Calcium
|
Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Calcium
(blood)
- Female
- Follow-Up Studies
- Humans
- Hyperparathyroidism, Primary
(blood, diagnosis, surgery)
- Male
- Middle Aged
- Monitoring, Intraoperative
(methods)
- Parathyroid Hormone
(blood)
- Parathyroidectomy
(methods)
- Recurrence
- Time Factors
- Young Adult
|