Treatment of parathyroid hyperplasia is:
TREATMENT OF PRIMARY HYPERPARATHYROIDISM Initial correction of hypercalcemia (Rapid IV normal saline followed by Forced diuresis with furosemide) Neck exploration is done and treatment is done accordingly A single parathyroid adenoma (85%) Resection Two adenomas (5%) Resection Hyperplasia of all four glands (10-15%) Resection of 3 1/2 glands or Resection of all four glands With Parathyroid auto transplantation - into Brachioradialis of non-dominant arm PARATHYROID AUTO TRANSPLANTATION Whenever multiple parathyroids are resected, it is preferable to cryopreserve tissue, so that it may be autotransplanted Approx. 12-14 pieces of 1 mm are transplanted into the nondominant forearm in belly of brachioradialis muscle
Phosphate binders
Calcitonin
Removal of 3 1/2 glands
Enlarged glands to be removed
Parathyroid and adrenal glands