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Subtotal parathyroidectomy: Normalization of circulating parathormone
Author(s) -
Paloyan Edward,
Lawrence A. M.,
Oslapas Raymond,
Ernst Kazuko,
Ahearn Mary Beth,
Bellar Barbara
Publication year - 1981
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930160314
Subject(s) - medicine , parathyroidectomy , primary hyperparathyroidism , hyperparathyroidism , parathyroid hormone , urology , calcium , surgery , endocrinology
Subtotal parathyroidectomy was performed in 52 consecutive patients with primary hyperparathyroidism. The postoperative results, 6–24 months following the operation, were evaluated according to a calcium‐parathormone normogram. In 48 patients the values returned to the normal zone. Two patients had persistent hypercalcemia. The other two patients remained in the hyperparathyroid zone of the normogram, with moderate elevations of serum parathormone, in spite of normocalcemia. The significance of the failure to achieve normal circulating parathormone levels in patients with postoperative eucalcemia is discussed. The importance of serum parathormone and calcium relationship in the evaluation of patients following parathyroidectomy is emphasized.