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Alfred D. Katz, MD; Leo Kaplan, MD

AMA Arch Surg. 1973;107(1):51-55.

Abstract
Twenty-seven patients with parathyroid hyperplasia secondary to renal failure have had parathyroidectomy. Normally 3 of the parathyroid glands were removed. There were 12 women and 15 men with a mean age of 36.8 years and a median age of 34 years. Ten patients (37%) required some mediastinal dissection to locate and remove the lower parathyroid glands. Three patients (11%) required early reoperation for bleeding. Two patients had functioning renal transplants preoperatively and two had successful postoperative renal transplants. Ten of the patients (37%) had "adenomatous-like" masses within the hyperplastic glands. These should be designated as "adenomas" occurring in hyperplasia. The cooperative team approach of the surgeon and the pathologist is a vital factor in successful parathyroid surgery.

Author Affiliations
Los Angeles

From the Department of Anatomic Pathology, Division of Surgery, Cedars-Sinai Medical Center, Los Angeles.

Footnotes
Accepted for publication March 2, 1973.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 21, 1973.

Reprint requests to 8733 Beverly Blvd, Los Angeles 90048 (Dr. Katz).

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