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Thyroid and Parathyroid Diseases pp 451–455Cite as

Clinical Usefulness of an Intraoperative “Quick Parathyroid Hormone” Measurement in Primary Hyperparathyroidism Management

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Abstract

Hypercalcemia was detected in an elderly female presenting with psychological symptoms. Primary hyperparathyroidism was diagnosed according to laboratory results. Normal serum calcium (Ca) levels were restored following hydration and the administration of furosemide and zoledronic acid. However, parathyroidectomy was required. Because of poor health, minimally invasive parathyroidectomy was the preferred method, requiring adenoma localization. Neck ultrasonography (USG) revealed a suspicious mass in the inferoposterior region of the right thyroid lobe that can be a parathyroid adenoma. Scintigraphic imaging could not be performed to confirm the USG findings because of poor health. Intraoperative parathyroid hormone assay (quick PTH) was scheduled. During the operation, following the removal of the mass revealed on USG findings, PTH levels decreased from 579 to 50.8 pg/mL. On follow-up, serum Ca, phosphate, and PTH levels remained in the normal range, and cognitive impairment gradually improved.

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Author information

Authors and Affiliations

  1. Istinye University Medical Faculty, Department of Internal Medicine, Istanbul, Turkey

    Serpil Salman

  2. Istanbul University Medical Faculty, Department of General Surgery, Istanbul, Turkey

    Fatih Tunca

Authors
  1. Serpil Salman
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  2. Fatih Tunca
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Editor information

Editors and Affiliations

  1. University of Health Sciences (SBÜ) Okmeydanı Training and Research Hospital, Istanbul, Turkey

    Tamer Özülker

  2. University of Health Sciences (SBÜ) Okmeydanı Training and Research Hospital, Istanbul, Turkey

    Mine Adaş

  3. University of Health Sciences (SBÜ) Okmeydanı Training and Research Hospital, Istanbul, Turkey

    Semra Günay

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Salman, S., Tunca, F. (2019). Clinical Usefulness of an Intraoperative “Quick Parathyroid Hormone” Measurement in Primary Hyperparathyroidism Management. In: Özülker, T., Adaş, M., Günay, S. (eds) Thyroid and Parathyroid Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-78476-2_72

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  • DOI: https://doi.org/10.1007/978-3-319-78476-2_72

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78475-5

  • Online ISBN: 978-3-319-78476-2

  • eBook Packages: MedicineMedicine (R0)

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