Clinical Experience in the Surgical Treatment of Primary Hyperparathyroidism: 94 Cases

Abstract

Purpose:Hyperparathyroidism, which is often seen in the elderly, is the most common cause ofhypercalcemia.Primary Hyperparathyroidism is a rare endocrine disease. PrimaryMethods: In the present study we have studied patients who admitted to Erzurum AtaturkUniversity, Faculty of Medicine, Department of General Surgery and who underwent surgeryfor parathyroid adenoma within a period of 7 years.Results: In our study, male / female ratio was 4.8 / 1, mean age was 51.98, the most commoncomplaint was joint pain with general body pain. 6% of the patients had bilateral adenomas.Parathyroid adenoma was detected in all patients with neck ultrasound and parathyroidscintigraphy. The most common complication after surgery was transient hypocalcemia whichresponses to medical treatment. One third of patients underwent only adenoma excision and anadditional thyroid surgery was performed to the remaining patients. Pathological diagnoses ofthe patients were mostly reported as adenoma.Conclusion: In asymptomatic elderly patients, diagnosis of parathyroid adenoma can be madewith routine laboratory tests

Keywords

• Primary Hyperparathyroidism,parathyroid adenoma,hypercalcemia

Primer Hiperparatiroidizm’in Cerrahi Tedavisinde Klinik Deneyimlerimiz: 94 Olgu

Abstract

Amaç: Primer Hiperparatiroidi nadir görülen endokrin hastalıklardan biridir. Sıklıkla ileriyaşlarda görülen Primer Hiperparatiroidi hiperkalseminin en sık nedenidir.Yöntem: Biz bu çalışmada Erzurum Atatürk Üniversitesi Tıp Fakültesi Genel Cerrahi AnabilimDalı’nda 7 yıllık süre içerisinde paratiroid adenomu nedeniyle ameliyat edilen hastalarıinceledik.Bulgular: Çalışmamızda kadın/erkek 4.8/1, ortalama yaş 51.98, en sık görülen şikayet ise genelvücut ağrısı ile birlikte eklem ağrısı idi. Bilateral adenom hastalarımızın % 6’sında vardı. BoyunUltrasonografi ve paratiroid sintigrafisin birlikte kullanıldığı hastaların tamamında adenomtespit edildi. Ameliyat sonrası en sık görülen komplikasyon medikal tedaviye cevap veren geçicihipokalsemi idi. Hastaların üçte birine sadece adenom eksizyonu yapılırken geriye kalanhastalara tiroid cerrahisi de yapıldı. Hastaların patolojik tanıları büyük oranda adenom olarakrapor edildi.Sonuç: Paratiroid adenom tanısı asemptomatik ileri yaştaki hastalarda rutin laboratuar tetkiklerile tespit edilebilir

Keywords

• Primer Hiperparatiroidizm,paratiroid adenom,hiperkalsemi

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