[Indications of parathyroidectomy for bone disease associated with secondary hyperparathyroidism].

Abstract

BACKGROUND:

The indications and suitable operative time of parathyroidectomy for secondary hyperparathyroidism were discussed.

METHODS:

From October 1978 to September 1994 parathyroidectomy was performed for 71 patients who had bone and/or joint pain due to secondary hyperparathyroidism. There were 37 men and 34 women (mean age 48.4 years). The duration of dialysis treatment before parathyroidectomy was 0.8 to 19 years, with a mean of 10.9 years.

RESULTS:

Postoperative subjective improvement was noted in 69% of the patients. No significant difference was observed between the improved and non-improved groups regarding age and the duration of dialysis treatment. But the improvement rate in female patients was significantly lower than that in male patients.

CONCLUSION:

Patients with high carboxyl-terminal PTH level and generalized fibrous osteitis were good suitable objects for parathyroidectomy. But, those with high serum aluminum level were unsuitable objects for it. Furthermore, 99mTc-Pyrophosphate bone scintigraphy and bone mineral determination using dual photon absorptiometry (DPA) or dual energy X-ray absorptiometry (DEXA) were proved to be valuable for patient selection for parathyroidectomy.

• Authors: Y Ishikawa, E Konya, T Yamate, N Amasaki, T Umekawa, Y Katayama, C Takamura, M Takada, H Kajikawa, Y Katoh, K Kataoka, M Iguchi, T Kurita, K Kohri
• Journal: Nihon Hinyokika Gakkai zasshi. The japanese journal of urology (Nihon Hinyokika Gakkai Zasshi) Vol. 87 Issue 1 Pg. 67-73 (Jan 1996) ISSN: 0021-5287 [Print] Japan
• PMID: 8683896 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Bone Diseases (etiology, surgery)
• Female
• Humans
• Hyperparathyroidism, Secondary (complications, surgery)
• Male
• Middle Aged
• Parathyroidectomy