03Mar 2025
Increased IOPTH After Parathyroidectomy Indicates Polyglandular Disease

Increased IOPTH After Parathyroidectomy Indicates Polyglandular Disease

Increased intraoperative parathyroid hormone (IOPTH) 10 minutes after parathyroidectomy suggests polyglandular disease. In a study of 100 patients, Group 1 (increased IOPTH) had 100% polyglandular diseases, while Group 2 (50% decrease) had 80%, and Group 3 (>50% decrease) had only 4%. Double adenomas were seen in 55% of Group 1. Cure rate was 99%, with bilateral neck exploration indicated for Group 1.

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