title: [Diagnostic and surgical strategy in sporadic primary hyperparathyroidism].
abstract: The generalized use of phosphocalcic biological assays makes the discovery of sporadic primary hyperparathyroidism increasingly common. In 1989-1990, first-intention surgery was performed in 26 female patients. In all cases, an exploratory cervicotomy under cervical peridural anesthesia allowed discovering and treating a parathyroid lesion: adenoma, asymmetric or symmetric hyperplasia, cancer. We discuss: the circumstances of the clinical diagnosis and the biological criteria, the timeliness of preoperative radiological assessment, the surgical strategy advocated. In more than 90% of all cases, a cervicotomy for the exploration of all areas of parathyroid migration should allow curing primary hyperparathyroidism.
authors.affiliation: Service ORL, CHU Bellevue, Saint-Etienne.
authors.forename: J M
authors.initials: JM
authors.lastname: Prades
authors.forename: B
authors.initials: B
authors.lastname: Pallot-Prades
authors.forename: B
authors.initials: B
authors.lastname: Estour
authors.forename: F
authors.initials: F
authors.lastname: Billard
authors.forename: R
authors.initials: R
authors.lastname: Mayaud
authors.forename: C
authors.initials: C
authors.lastname: Martin
mesh_terms: D000236:Adenoma / Q000150:complications; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000601:surgery*; D008875:Middle Aged; D010279:Parathyroid Diseases / Q000150:complications; D010282:Parathyroid Neoplasms / Q000150:complications
vernacular_title: Stratégie diagnostique et chirurgicale de l'hyperparathyroïdie primaire sporadique.