Hypercalcemia:Differential diagnosis, surgical treatment and evaluation
CHU Cheng-yu
WANG Hong-ying
ZOU Qiang
Abstract：Surgery remains the main therapeutic approach in treating the hypercalcemia caused by hyperparathyroidism (HPT). Most cases of primary HPT are due to a solitary parathyroid adenoma. Qualitative diagnosis may depend on elevated parathyroid hormone (PTH), hypercalcemia and hypophosphatemia. Pre-operative imaging examination, including scintigraphy and ultrasonography,may help to locate the lesion. The resection of adenoma is the choice for the operation and extensive exploration is unnecessary. Characterized by parathyroid hyperplasia, renal HPT is diagnosed on the basis of long-term renal failure and hemodialysis. Elevated PTH with elevated calcium and phosphorus as well as ultrasonography may be used in the qualitative identification and localization respectively. Parathyroidectomy may be indicated when the medical therapies are inefficient. Total parathyroidectomy with partial autotransplantation of parathyroid tissue is recommended.
Keywords：hypercalcemiahyperparathyroidism
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 320-323 )