[Parathyroid adenoma from the surgical view point. Report of 65 cases]

Experience in the surgical management of a series of 65 cases with hyperparathyroidism is described (primary HPT: 55, secondary HPT: 3, tertiary HPT: 2, malignant HPT: 5) The consecutive forms of primary HPT, i.e. quarternary or quinternary HPT, and of secondary HPT, i.e. tertiary HPT, are discussed in more detail. Dystopic location was observed in 12.3%. In 4.6% no adenoma was found during the operation. A modern method for the localisation is the measurement of parathyroid hormone levels by radioimmunoassay. In nearly all publications we observe an increase in the renal forms. Intensive search for primary HPT is essential in all cases with recurrent renal calculi.