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Primary, Secondary and Tertiary Hyperparathyroidism pp 91–109Cite as

Preoperative Localization for Parathyroid Surgery in Primary and Secondary Hyperparathyroidism

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Part of the book series: Updates in Surgery ((UPDATESSURG))

Abstract

The diagnosis of primary hyperparathyroidism is based on the results of laboratory tests demonstrating elevated plasmatic levels of parathyroid hormone (PTH) and calcium [1]. In patients with suspected primary hyperparathyroidism the role of imaging is usually complementary but it becomes relevant in specific clinical conditions when the correct visualization of a parathyroid mass might confirm the diagnosis or might determine subsequent treatment decisions. This is the case for patients with a not-diagnostic biochemical profile (e.g. elevated PTH with serum calcium level within the normal range) and/or an atypical clinical presentation (e.g. patients without typical signs or symptoms), or that of patients with a mild hyperparathyroidism where the echographic or scintigraphic demonstration of a large adenoma support the surgical decision instead of observation (that might be the option in subjects without a clear parathyroid mass) [2, 3].

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Authors and Affiliations

  1. Department of Medical Sciences, University of Turin, Turin, Italy

    Gianni Bisi

Authors
  1. Giovanni Gandini
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  2. Filippo Marchisio
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  3. Giuseppe Isolato
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  4. Antonella Sargiotto
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  5. Michela Zotta
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  6. Gianni Bisi
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Correspondence to Gianni Bisi .

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Editors and Affiliations

  1. Department of Surgical Sciences, University of Turin, Turin, Italy

    Guido Gasparri  & Michele Camandona  & 

  2. Department of Surgery, Città della Salute e della Scienza University Hospital, Turin, Italy

    Nicola Palestini

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Gandini, G., Marchisio, F., Isolato, G., Sargiotto, A., Zotta, M., Bisi, G. (2016). Preoperative Localization for Parathyroid Surgery in Primary and Secondary Hyperparathyroidism. In: Gasparri, G., Palestini, N., Camandona, M. (eds) Primary, Secondary and Tertiary Hyperparathyroidism. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5758-6_9

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  • DOI: https://doi.org/10.1007/978-88-470-5758-6_9

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5757-9

  • Online ISBN: 978-88-470-5758-6

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