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Parathyroid Adenoma Surgery

Surgical removal of a parathyroid adenoma that secretes excess parathyroid hormone.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Parathyroid Adenoma Surgery?

About 85% of primary hyperparathyroidism is due to a single parathyroid adenoma. This adenoma secretes excess parathyroid hormone, leading to complications such as hypercalcemia, kidney stones, osteoporosis, and psychiatric findings.

In modern surgery, minimally invasive parathyroidectomy (MIP) is preferred. Preoperative localization studies (ultrasonography, sestamibi scintigraphy, 4D-CT) identify the adenoma.

Intraoperative rapid PTH measurement (Miami criteria: a drop to more than 50% below the baseline) is the gold standard for confirming surgical success.

Symptoms

Fatigue and weakness
Bone pain and fractures
Kidney stones
Polyuria and thirst
Depression and impaired concentration
Constipation
Muscle weakness

Risk Factors

Female sex and postmenopause
MEN1, MEN2A syndromes
Head-neck radiation
Lithium use
Older age
Family history
Chronic vitamin D deficiency

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Detection of hypercalcemia
  • Recurrent kidney stones
  • Osteoporosis and unexplained fractures
  • Chronic fatigue and depression
  • Suspicious neck mass

Treatment Methods

01
Preoperative localization (ultrasound, sestamibi, 4D-CT)
02
Minimally invasive parathyroidectomy (single adenoma)
03
Intraoperative rapid PTH monitoring
04
Neck exploration in multigland disease
05
Partial or total parathyroidectomy + autotransplantation (in hyperplasia)
06
Postoperative calcium and vitamin D follow-up

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.