title: [Diagnosis and treatment strategies on primary hyperparathyroidism].
abstract: OBJECTIVE
  Through analyzing the 13 cases with primary hyperparathyroidism (PHPT) retrospectively, We detected the reasons of the misdiagnosis and the strategy of diagnosis and treatment for the disease.
  
  
  METHODS
  Thirteen cases of clinical materials on PHPT were collected from 2002 to 2012. Initial symptom, laboratory examination and imaging findings were analyzed. Thirteen cases of patients with PHPT all were performed surgery. The period of postoperative follow up was from 3 to 24 months, averaged for 12.2 months.
  
  
  RESULTS
  Surgeries on 13 patients were successful, including 12 cases of parathyroid adenoma and 1 case of parathyroid hyperplasia. After the operation, blood calcium went back to normal, and the symptoms of bone and urinary tract were relieved.
  
  
  CONCLUSIONS
  Initial symptoms of PHPT are predominantly manifested as bone and kidney types. Elevated PTH/blood calcium levels, B-ultrasound/CT and ECT localization are the important diagnosis basis of this disease. Surgical excision of the lesion parathyroid tissue is the most effective treatment.
authors.affiliation: Department of Head and Neck Surgery, the Third Affiliated Hospital of Kunming Medical University, the Tumor Hospital of Yunnan Province, Kunming, 650118,China.
authors.forename: Xiaojiang
authors.initials: X
authors.lastname: Li
authors.forename: Shiwen
authors.initials: S
authors.lastname: Zhang
authors.forename: Ruimei
authors.initials: R
authors.lastname: Sun
authors.forename: Jie
authors.initials: J
authors.lastname: Yang
authors.forename: Yanxin
authors.initials: Y
authors.lastname: Ren
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002118:Calcium / Q000097:blood; D005260:Female; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000601:surgery; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D002118:Calcium