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When would I use medical therapies for the treatment of primary hyperparathyroidism?

Authors
  • Crowley, Rachel K1
  • Gittoes, Neil J
  • 1 Department of Endocrinology, University Hospital Birmingham NHS Foundation Trust and University of Birmingham, Birmingham, UK.
Type
Published Article
Journal
Clinical endocrinology
Publication Date
Dec 01, 2013
Volume
79
Issue
6
Pages
770–773
Identifiers
DOI: 10.1111/cen.12344
PMID: 24111629
Source
Medline
License
Unknown

Abstract

Although there may be controversy surrounding the indications for parathyroidectomy in primary hyperparathyroidism, it remains the only accepted definitive therapy. However, even if parathyroidectomy is indicated, some patients refuse surgery, are medically unfit or have residual or recurrent disease inaccessible to further surgery. Some of these patients may be suitable for long-term observation but others require intervention for management of symptomatic or moderate to severe hypercalcaemia, loss of bone mineral density or renal calculi. The selection of a suitable therapy for each patient should be individualized.

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