Title: Parathyroid adenoma in primary hyperparathyroidism in the elderly – Case report [Abstract in English]
Abstract: Introduction: Primary hyperparathyroidism is a
common disorder of bone metabolism, involving calcium
and phosphorus, caused by increased circulating levels of
parathyroid hormone. Parathyroid adenoma is the principal
cause, representing 80-85% of all cases.
Objective: Case report of an old woman with parathyroid
adenoma, and review of the literature about current
diagnosis and surgical treatment criteria.
Conclusion: The diagnosis of primary hyperparathyroidism
should be considered in every patient with severe
osteoporosis or in such cases that present with spontaneous
fractures or as a result of minimal trauma (trauma equal to
or less than a fall from a standing position). Surgical
management by removal of the hyperfunctioning parathyroid
tissue is still the standard and usually effective
therapy, but in older patients with no symptoms and lack
of renal or osseous deterioration, medical surveillance
may be justified without surgery.
KEY WORDS: PARATHYROID DISESAES; ADENOMA;
HYPERPARATHYROIDISM/diagnosis; OSTEOPOROSIS; AGED;
FEMALE.
Publication Year: 2006
Publication Date: 2006-10-17
Language: en
Type: article
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