A retrospective review of 796 patients undergoing parathyroidectomy with intraoperative parathyroid hormone (iPTH) monitoring for primary hyperparathyroidism identified 18 patients with parathyroid carcinoma. The study found that patients who achieved a >50% decrease in iPTH levels into the normal reference range had a higher rate of operative success compared to those with a >50% decrease alone. This suggests that iPTH monitoring should be used alongside clinical judgment and complete resection for optimal treatment of parathyroid carcinoma.
Journal Article by Armstrong VL, Vaghaiwalla TM (…) Lew JI et 5 al. in J Surg Res
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