Recurrent Urolithiasis Revealing Primary Hyperparathyroidism in a Nephrology Department
Table 4
Prognostic data of our study population.
Patients
Medical treatment
Surgical treatment
Histology
Follow-up
1 (WR)
25 OH Vit D3
No
—
6 Years
PTH: 114 pg/ml
Ca: 2.36 mmol/l
Ph: 0.88 mmol/l
25 OH Vit D: 28.7 ng/ml
CaU: 8.3 mmol/24 h
PhU: 21 mmol/24 h
2 (BA)
25 OH Vit D3
Yes Removal of the subpolar lower parathyroid
Parathyroid hyperplasia
3 Years
CT scan of the parathyroids 5 months after surgery: 16 mm mediastinal adenoma not reoperated
PTH: 96.3 pg/ml
Ca: 2.7 mmol/l
Ph: 0.71 mmol/l
CaU: 3 mmol/24 h
PhU: 13.5 mmol/24 h
3 (DH)
25 OH Vit D3
Yes Removal of a 2 cm nodule from the left lower parathyroid
Parathyroid adenoma
1 year
PTH: 96.3 pg/ml
25 OH Vit D3: 39 ng/ml Ca: 2.27 mmol/l
Ph: 0.73 mmol/l
CaU: 3 mmol/24 h
PhU: 13.8 mmol/24 h
4 (HR)
Yes
Parathyroid adenoma
PLTF
5 (NL)
Yes Parathyroidectomy of the lower and upper left, upper right, and half of the lower right parathyroid
Parathyroid adenoma
8 years
PTH: 30 pg/ml
Ca: 2.26 mmol/l
Ph: 1.39 mmol/l
Ca u: 1.4
Ph u: 14.8
6 GK
Yes Right lower parathyroid adenoma
Parathyroid adenoma
3 years
Creat: 108
Ca: 2.33 mmol/l
Ph: 0.98 mmol/l
PTH: 74.05 pg/ml
Ca U: 2.08 mmol/24 h
Ph U: 16 mmol/24 h
7 (BAS)
Yes Parathyroidectomy
ND
PLTF
8 (NH)
—
ND
PLTF
9 (DS)
—
ND
PLTF
10 (HI)
Yes Removal of a 2.5 cm parathyroid adenoma
Parathyroid adenoma
3.5 Years
Creat: 160 µmol/l
PTH: 300 pg/ml
Ca: 2.18 mmol/l
Ph: 1.03 mmol/l
25 OH Vit D3: 16 ng/ml
PLTF: patient lost to follow-up: ND: none done, PTH: parathormone, Ca: calcium, Ph: phosphate, U: urinary, and Creat: serum creatinine. Bold values represent the follow-up period for each patient.