[ XXXX : a report of 67 cases. The experience of 5 years at the IMSS Centro M  dico Nacional Siglo XXI Specialties Hospital].

@entity1 @entity459 @entity2741 @entity1373 @entity189 @entity652 @entity461
INTRODUCTION: @entity459 ( @entity459 ) is a frequent disease. It is characterized by @entity2741 and elevation of @entity461 ( @entity461 ) levels. The incidence is variable, being more frequent in @entity1 (3:1) in the perimenopauseal period. In the last decades, diagnosis of asymptomatic @entity459 has increased due to automatized calcium determinations. Duration of the disease and serum concentrations of calcium and @entity461 determine symptomatology. Surgery is the definitive treatment. It is important to assess surgical criteria in asymptomatic @entity1 . Successful treatment of this disease depends on a highly specialized team of parathyroid surgeons. MATERIAL AND METHODS: We reviewed the clinical and biochemical background of @entity1 subjected to parathyroidectomy from January 1998 to August 2003 in our medical center. We then analyzed clinical and laboratory data, final histopathologic diagnosis, and surgery outcome. RESULTS: Sixty seven @entity1 were included, with an average age of 50 years (+/- 11.9), 15 @entity1 and 52 @entity1 . Greatest frequency of @entity459 was observed in @entity1 between 40 and 60 years of age. Average calcium value was 11.7 mg/dl (+/- 1.23) and that of @entity461 was 194.5 pg/ml (+/- 93). Histopathologic diagnosis was @entity652 in 56 (83.58%), @entity1373 in 9 (13.43%), and @entity189 in 2 (2.9%) @entity1 . Cure of the disease was achieved in 65 @entity1 (97%). @entity459 is a surgically curable disease; it is necessary to confirm diagnosis and decide on surgical treatment in accordance with established criteria even if the disease is asymptomatic.
