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Öğe Clinical Experience in the Surgical Treatment of Primary Hyperparathyroidism: 94 Cases(Düzce Üniversitesi, 2013) Kısaoglu, Abdullah; Akçay, Müfide Nuran; Atamanalp, Sabri Selcuk; Yıldırgan, Mehmet İlhan; Öztürk, Gürkan; Özoğul, BünyamiPurpose:Hyperparathyroidism, which is often seen in the elderly, is the most common cause ofhypercalcemia.Primary Hyperparathyroidism is a rare endocrine disease. PrimaryMethods: In the present study we have studied patients who admitted to Erzurum AtaturkUniversity, Faculty of Medicine, Department of General Surgery and who underwent surgeryfor parathyroid adenoma within a period of 7 years.Results: In our study, male / female ratio was 4.8 / 1, mean age was 51.98, the most commoncomplaint was joint pain with general body pain. 6% of the patients had bilateral adenomas.Parathyroid adenoma was detected in all patients with neck ultrasound and parathyroidscintigraphy. The most common complication after surgery was transient hypocalcemia whichresponses to medical treatment. One third of patients underwent only adenoma excision and anadditional thyroid surgery was performed to the remaining patients. Pathological diagnoses ofthe patients were mostly reported as adenoma.Conclusion: In asymptomatic elderly patients, diagnosis of parathyroid adenoma can be madewith routine laboratory tests












