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Vol. 111 No. 6, June 1976 |
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PAPERS READ BEFORE THE ANNUAL MEETING OF THE SOUTHERN CALIFORNIA CHAPTER OF THE AMERICAN COLLEGE OF SURGEONS, SANTA BARBARA, CALIF, JAN 16-18, 1976 |
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Recurrent Hyperparathyroidism
James J. Livesay, MD;
Donald G. Mulder, MD
Arch Surg. 1976;111(6):688-691.
Abstract
• Recent reports in the literature have indicated an alarming increase in the incidence of recurrence following operation for hyperparathyroidism. Factors contributing to recurrent disease in 20 patients seen at the University of California at Los Angeles (UCLA) Medical Center included unrecognized multiple gland involvement in 12 patients, aberrant location of glands in nine, misleading pathologic information in eight, and supernumerary glands in two. The results of special diagnostic studies such as thermography, selective venous catheterization for parathyroid hormone assay, and selective arteriography have been reviewed. Some recommendations include histologic identification of all parathyroid glands, a systematic search of the most probable locations for aberrant glands, and subtotal parathyroidectomy at the time of the initial operation in patients at increased risk for recurrence.
(Arch Surg 111:688-691, 1976)
Author Affiliations
From the School of Medicine, Center for the Health Sciences, Los Angeles.
Footnotes
Accepted for publication Feb 4, 1976.
Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 18, 1976.
Reprint requests to School of Medicine, Center for the Health Sciences, Los Angeles, CA 90024 (Dr Mulder).
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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ANN INTERN MED 1980;92:351-356.
ABSTRACT
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