title: Primary hyperparathyroidism--a surgical review of 12 cases.
abstract: Twelve cases of primary hyperparathyroidism operated by the Universiti Kebangsaan Malaysia Surgical Team from 1978 to 1989 were reviewed. There was a preponderance of Indian females in this series. The majority of the cases presented late and with complications. Renal calculi and bone disease were the commonest complications noted. Of the 12 patients, 9 had single parathyroid adenoma of which 4 were ectopically located, and 2 had hyperplasia of the parathyroids. These were all successfully operated. The remaining patient had 2 failed neck explorations. Failure at initial exploration was due to ectopic location of the glands. Meticulous surgical technique, knowledge of the anatomical variations of location of the parathyroid glands and availability of frozen section facility are essential for successful outcome.
authors.affiliation: Department of Surgery and Medicine, Universiti Kebangsaan Malaysia.
authors.forename: F A
authors.initials: FA
authors.lastname: Meah
authors.forename: T T
authors.initials: TT
authors.lastname: Tan
authors.forename: A
authors.initials: A
authors.lastname: Taha
authors.forename: B A
authors.initials: BA
authors.lastname: Khalid
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000601:surgery; D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000175:diagnosis / Q000601:surgery