[Surgical treatment of parathyroid hyperplasia].
BACKGROUND
To review a series of 11 patients affected by hyperplasia of parathyroid glands and to discuss diagnostic and therapeutic tools.


METHODS
A series of 11 patients out of 44 (= 25%) with primary hyperparathyroidism has been retrospectively reviewed. They underwent surgery in I surgical Department of OORR of Bergamo. All 11 patients were submitted to ultrasound and computed tomography examination before surgery, without any localisation of hyperplastic or adenomatous tissue. An exploring cervicotomy was performed with subtotal parathyroidectomy after the anatomopathological result of hyperplasia.


RESULTS
No adverse effects related to surgery were observed. All patients could be considered as cured with a median follow-up of 36 months.


CONCLUSIONS
Among hyperparathyroidism, hyperplasia is an underhand form and even if the laboratory diagnosis is simple, the imaging techniques cannot always localise the pathologic tissue. Personal experience shows the role of subtotal parathyroidectomy (removal of 3 parathyroid glands and a half of the last one) confirmed by the absence of adverse effects or relapse with a median follow-up of 36 months.
Poletti
E M
EM
I Divisione di Chirurgia Generale, Ospedali Riuniti, Bergamo.
Cassinelli
G B
GB
Vescovi
L
L
Bertulessi
L
L
Sonzogni
A
A
Pericotti
S
S
Sileo
F
F
Pagani
G
G
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000473:pathology / Q000601:surgery*; D006965:Hyperplasia / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000473:pathology* / Q000601:surgery*; D016105:Parathyroidectomy; D012189:Retrospective Studies; D016896:Treatment Outcome