Age and Parathyroid Surgery

Aged woman walking after surgery with the help of nurse

All patients with primary hyperparathyroidism should be considered for surgery regardless of age. Primary hyperparathyroidism is most common in patients in their 60’s or younger, but it can occur in patients in their 70’s, 80’s and even 90’s. Unfortunately, many elderly are missing an opportunity to be cured of primary hyperparathyroidism with a low-risk operation.…

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Parathyroid Surgery

Surgical instruments set on a table in Surgical room

Surgery is the only definitive treatment available for primary hyperparathyroidism. Surgical management is clearly indicated in symptomatic patients.  In addition, the consensus guidelines of the 4th international workshop provide indications for surgery in “asymptomatic“ patients.  These include: 1) significant elevation in serum calcium (>1.0 mg/dL above the upper limit of normal); 2) significant skeletal manifestations demonstrated…

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