Skip to main content

Surgery for Primary Hyperparathyroidism

  • Chapter
  • First Online:
Tips and Tricks in Endocrine Surgery

Abstract

Primary hyperparathyroidism (PHPT) is the third most common endocrine disorder affecting 0.3 % of the population and up to 1–3 % of postmenopausal women (Jessica et al. 2011).

PHPT is diagnosed by a raised serum (corrected) calcium associated with an inappropriately unsuppressed PTH level. It arises from oversecretion of PTH due to parathyroid gland(s) overactivity.

Primary HPT may be treated conservatively or surgically. Only approximately one-tenth of diagnosed patients end up undergoing parathyroidectomy.

Inherited forms of HPT: Germline mutations leading to loss of heterozygosity in tumor suppressor genes in multiple endocrine neoplasia (MEN)1 and CDC73, combined with a second mutation in somatic cells, can lead to parathyroid tumor development (Jessica et al. 2011).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Bilezikian JP, Khan AA, Potts Jr JT, Third International Workshop on the Management of Asymptomatic Primary Hyperthyroidism. Guidelines for the management of asymptomatic primary hyperparathyroidism: summary statement from the third international workshop. J Clin Endocrinol Metabol. 2009;94(2):335–9.

    Article  CAS  Google Scholar 

  • Jessica MK-F, Sandra S, Donald A, Jibran S, Aneal K. Primary hyperparathyroidism: an overview. Int J Endocrinol. 2011;2011:251410.

    Google Scholar 

  • Schaapveld M, Jorna FH, Aben KK, Haak HR, Plukker JT, Links TP. Incidence and prognosis of parathyroid gland carcinoma: a population-based study in the Netherlands estimating the preoperative diagnosis. Am J Surg. 2011;202(5):509–7.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. James England MBChB, FRCS (ORL-HNS) .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

England, R.J., Mehanna, H. (2014). Surgery for Primary Hyperparathyroidism. In: Watkinson, J., Scott-Coombes, D. (eds) Tips and Tricks in Endocrine Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-2146-6_33

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-2146-6_33

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-982-6

  • Online ISBN: 978-1-4471-2146-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics