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November 1972

Primary HyperparathyroidismCurrent Diagnosis, Treatment, and Results

Author Affiliations

Miami, Fla
From the departments of surgery and medicine, Division of Endocrinology, University of Miami School of Medicine, and the Veterans Administration Hospital, Miami, Fla.

Arch Surg. 1972;105(5):738-740. doi:10.1001/archsurg.1972.04180110061015

Over a four-year period 31 consecutive patients have undergone surgical exploration with a preoperative diagnosis of primary hyperparathyroidism. Persistent hypercalcemia remains the best diagnostic test. A high incidence of diabetes mellitus was found in this group of patients. Selective arteriography for localization of an adenoma prior to the initial surgery is discouraged. A successful operation could be predicted by the rapid fall in serum calcium level by the 16th hour. Twenty-eight of the 31 patients have remained normocalcemic.