Which patients should undergo surgery for primary hyperparathyroidism?

Updated: Dec 24, 2020
  • Author: Lawrence T Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Surgical excision of abnormal parathyroid glands (see below for details of surgical treatment) offers the only permanent, curative treatment for primary hyperparathyroidism. There is universal agreement that surgical treatment should be offered to all patients with symptomatic disease. The authors would note, however, that symptoms are often dismissed by both physicians and patients; fatigue is an extremely common symptom that is often ignored, especially in the elderly, who commonly attribute it to aging or other causes. Some controversy exists regarding the optimal management of asymptomatic patients.

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