[Diagnostic and surgical strategy in sporadic primary hyperparathyroidism].
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.
Prades
J M
JM
Service ORL, CHU Bellevue, Saint-Etienne.
Pallot-Prades
B
B
Estour
B
B
Billard
F
F
Mayaud
R
R
Martin
C
C
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
Stratégie diagnostique et chirurgicale de l'hyperparathyroïdie primaire sporadique.