Invited Commentary: Current Status of Surgical Techniques for Parathyroidectomy for Untreated Primary Hyperparathyroidism: Is the Technology Worth It?

摘要

The recommendations of a 1991 National Institutes of Health consensus conference, recently updated, serve as reasonable guidelines.12, 13 All symptomatic patients with PHPT are considered surgical candidates as are asymptomatic patients younger than 50 years of age or those with serum calcium levels above 12 mg/dL. Calcium channel blocker therapy has been reported to reduce sensitivity of sestamibi SPECT in patients with PHPT.21 Ultrasound In addition to its value in patients with PHPT, preoperative ultrasonography is helpful in identifying coexisting thyroid disease.