PTH Spikes During Surgical Treatment for Secondary and Tertiary Hyperparathyroidism: A Prospective Observational Study.
Andre Albuquerque SilveiraMarilia D'Elboux Guimaraes BresciaClimerio Pereira do NascimentoFelipe Ferraz MagnaboscoSergio Samir ArapFabio Luiz de Menezes MontenegroPublished in: World journal of surgery (2022)
PTH spikes occurred in up to 23.5% of renal hyperparathyroidism surgical treatments and can negatively influence the intraoperative parathyroid hormone monitoring. Regarding the phenomenon of PTH spikes, it is prudent to think about the possibility of a hyperplastic supernumerary gland.
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