Diagnosis and surgical treatment of parathyroid tumors in 129 cases

Objective To discuss the diagnosis and surgical treatment of parathyroid tumor. Methods Clinical data of 129 cases with parathyroid tumor undergoing surgical treatment at Tianjin Medical University Cancer Institute and Hospital between 1999 and 2015 were analyzed retrospectively. Results All patients underwent resection. 9 were diagnosed as cysts, 75 were diagnosed as adenoma, 16 were diagnosed as carcinoma and 29 were diagnosed as adenoma with active proliferation. The accuracy rate of preoperative B-US and radioactive scanning on location diagnosis was 82.9% and 94.3%.Postoperative serum calcium level (t=16.864, P=0.000), and serum PTH level were significantly lower (t=8.640, P=0.000). Conclusions Serum calcium, PTH examination, B-US and parathyroid radioactive scanning are helpful for preoperative diagnosis and localization. Resection offers a definite cure for patients with parathyroid tumors. Key words: Parathyroid neoplasms; Hyperparathyroidism; Diagnosis; Surgical procedures, operative