L\’hyperparathyroïdie est secondaire à une sécrétion élevée de parathormone. Le diagnostic positif est biologique et le diagnostic de localisation est. Un mode de découverte inhabituel d’hyperparathyroïdie primaire: fractures multiples sur tumeurs brunes secondaires à un adénome parathyroïdien ectopique. Request PDF on ResearchGate | On Jul 1, , Lucie Ravella and others published Une cause inhabituelle d’hyperparathyroïdie primaire.
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La chirurgie est le seul traitement curatif.
The diagnosis is ordinarily easily made, based on an inappropriately elevated parathormone level PTH in the face of an elevated serum calcium level. Other investigations are reserved for persistent or recurrent HPT1 post surgery. Surgery is the only cure. The surgical approach may include a bilateral cervical exploration, a unilateral approach under local anesthesia, or focused minimally invasive video-assisted or totally endoscopic approaches. Surgery is recommended even for moderate HPT1 and for very elderly patients because improvement in both the quality of life and bone density have been proven in these situations.
The role of medical treatment is limited. Persistent or recurrent HPT1 requires a meticulous diagnostic approach and management in surgical centers with expertise. Persistent elevation of PTH postoperatively without hypercalcemia does not mandate further exploration.
Journal Tunisien d’ORL et de Chirurgie Cervico-Faciale
The outcome of normocalcemic patients with elevated postoperative PTH levels remains uncertain. Primary hyperparathyroidism, Parathormone, Intraoperative parathormone, Parathyroidectomy, Cervicoscopy.
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Hyperparathyroïdie primaire sporadique – EM|consulte
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