Surgery or No Surgery for Primary Hyperparathyroidism
Authors: JOHN P. BILEZIKIAN
Journal: Annals of Internal Medicine (1985)

Editorials1 March 1985Surgery or No Surgery for Primary HyperparathyroidismJOHN P. BILEZIKIAN, M.D.JOHN P. BILEZIKIAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-102-3-402 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPrimary hyperparathyroidism is a common disorder of mineral metabolism characterized by the excessive secretion of parathyroid hormone and an elevated serum calcium level. Most patients have a single adenomatous parathyroid gland, but hyperplasia of all four parathyroid glands occurs in about 15% to 20% of patients. Primary hyperparathyroidism is often discovered in patients after a routine multichannel screening test obtained in the course of an evaluation for other reasons (1, 2). For these patients, because they appear to be asymptomatic and without any of the potential complications of primary hyperparathyroidism, surgical removal of the adenomatous or hyperplastic parathyroid tissue is...References1. HEATH H, HODGSON S, and KENNEDY M. Primary hyperparathyroidism: incidence, morbidity, and potential economic impact in a community. N Engl J Med. 1980;302:189-93. CrossrefMedlineGoogle Scholar2. MUNDY G, COVE D, and FISKEN R. Primary hyperparathyroidism: changes in pattern of clinical presentation. Lancet. 1980;1:1317-20. CrossrefMedlineGoogle Scholar3. BILEZIKIAN J. The medical management of primary hyperparathyroidism. Ann Intern Med. 1982;96:198-202. LinkGoogle Scholar4. MALLETTE L, BILEZIKIAN J, HEATH D, and AURBACH G. Primary hyperparathyroidism: clinical and biochemical features. Medicine. 1974;53:127-46. CrossrefMedlineGoogle Scholar5. HABENER J and POTTS J. Clinical features of primary hyperparathyroidism. In: DEGROOT LJ, ed. Endocrinology. New York: Grune & Stratton; 1979:693-701. Google Scholar6. SEEMAN E, WAHNER H, and OFFORD K. Differential effects of endocrine dysfunction on the axial and the appendicular skeleton. J Clin Invest. 1982;69:1302-9. CrossrefMedlineGoogle Scholar7. POZZI-MUCELLI R, KANTOR A, and GENANT H. Quantitative bone mineral analysis in primary hyperparathyroidism. J Comput Assist Tomogr. 1983;7:555. CrossrefGoogle Scholar8. PATTEN B, BILEZIKIAN J, MALLETTE L, PRINCE A, ENGEL W, and AURBACH G. Neuromuscular disease in primary hyperparathyroidism. Ann Intern Med. 1974;80:182-93. LinkGoogle Scholar9. PURNELL D, SCHOLZ D, and SMITH L. Treatment of primary hyperparathyroidism. Am J Med. 1974;56:800-9. CrossrefMedlineGoogle Scholar10. SCHOLZ D and PURNELL D. Asymptomatic primary hyperparathyroidism. Mayo Clin Proc. 1981;56:473-8. MedlineGoogle Scholar11. PATERSON C, BURNS J, and MOWAT E. Long term follow up of untreated primary hyperparathyroidism. Br Med J. 1984;289:1261-3. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JOHN P. BILEZIKIAN, M.D.Affiliations: College of Physicians and Surgeons New York, New York PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited by“Silent” kidney stones in “asymptomatic” primary hyperparathyroidism—a comparison of multidetector computed tomography and ultrasoundIndications for operative intervention in patients with asymptomatic primary hyperparathyroidism: Practice patterns of endocrine surgeryAge as a criterion for surgery in primary hyperparathyroidismAlendronate Therapy of Primary HyperparathyroidismA 10-Year Prospective Study of Primary Hyperparathyroidism with or without Parathyroid SurgeryPrimary Hyperparathyroidism: Diagnosis and ManagementClinical and Laboratory Evaluation of Endocrine DiseasesLongitudinal changes in forearm bone mineral content in primary hyperparathyroidismEtiologies and Therapy of HypercalcemiaHypercalcemiaPrimary Hyperparathyroidism and Delirium in The ElderlyAcute primary hyperparathyroidismMineral MetabolismOsteoporosis Followed by Primary Hyperparathyroidism A Reason for Continued Vigilance 1 March 1985Volume 102, Issue 3Page: 402-403KeywordsCalciumHyperparathyroidismParathyroidParathyroid hormoneSurgery ePublished: 1 December 2008 Issue Published: 1 March 1985 PDF downloadLoading ...