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DOI: 10.1055/s-0029-1210893
© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York
Clinical Aspects of Surgery in Primary Hyperparathyroidism*)
*) Dedicated to Prof. Dr. sc. med. Dr. h. c. G. Dörner on the occasion of his 60th birthday.Publication History
1988
Publication Date:
16 July 2009 (online)
![](https://www.thieme-connect.de/media/eced/19890405/lookinside/thumbnails/10.1055-s-0029-1210893-1.jpg)
Summary
60 patients suffering from primary hyperparathyroidism were operated during the period from 1980 till September 1988. The operation was successful in 55 cases. Most patients had single adenomas of the parathyroid glands. There was only one case with a four-gland-hyperplasia and one case with a parathyroid carcinoma. Rare observations were: one woman with a truly recurrent primary hyperparathyroidism, two patients with a papillary carcinoma of the thyroid gland in addition to the hyperparathyroidism and one patient with a large cystic parathyroid adenoma. Most of the patients had severe clinical symptoms of the primary hyperparathyroidism, mainly renal stones, in some cases bone changes. Only three patients were asymptomatic.
Key words
Hypercalcaemia - Parathyroid hormone - Renal stones - Cervical thymec-tomy - Reoperations