A review of 265 cases of parathyroid explorations.

The authors review their personal series of over 250 parathyroid explorations since 1957. The rationale for treatment of asymptomatic hypercalcemia is discussed. Emphasis is placed on early exploration of hypercalcemic crisis. The relationship of hyperparathyroidism to MEA syndromes is discussed with illustrate cases. The value of sonography, CT scanning, and other radiologic studies is presented. Measured to reduce failure rate are emphasized.