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May 1956

Hyperparathyroidism, with Particular Reference to TreatmentReview of Two Hundred Seven Proved Cases

Author Affiliations

Rochester, Minn.
Section of Surgery, Mayo Clinic and Mayo Foundation (Dr. Black), Fellow in Surgery, Mayo Foundation (Dr. Zimmer). The Mayo Foundation is a part of the Graduate School of the University of Minnesota.

AMA Arch Surg. 1956;72(5):830-837. doi:10.1001/archsurg.1956.01270230094012

The treatment of hyperparathyroidism has been discussed in considerable detail previously. Practically all the principles on which treatment is based were first set forth in a remarkably prescient paper by Churchill and Cope1 in 1934. The surgical aspects were again discussed by Cope2 in 1941 and by Rienhoff3 in 1950. The experience at the Mayo Clinic, based on the treatment of 63 patients, was reviewed in 19484 and again after treatment of 112 patients, in 1953.5 Another review of the details of treatment does not seem warranted at this time, but some general impressions can well be considered. The increased experience of the present has provided a better understanding of the pathology of hyperparathyroidism and a far different conception of the anatomy of the parathyroids and of the frequency of mediastinal adenomas. Somewhat surprisingly, the surgical difficulties stressed in practically all previous papers have proved

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