![]() With the introduction of routine serum calcium measurements, a significant increase in the incidence of primary hyperparathyroidism, which is mostly asymptomatic, has been observed. Today, most patients do not have the classic symptoms or signs associated with primary hyperparathyroidism at the time of diagnosis and are diagnosed as asymptomatic or minimally symptomatic. ![]() The diagnosis of primary hyperpathyroidism is diagnosed biochemically, and the only curative treatment is surgery ( 2). Primary hyperparathyroidism is the most common pathology of the parathyroid glands and is one of the most common endocrine disorders overall, usually resulting from solitary parathyroid adenoma, less frequently from multiple parathyroid gland disease, and rarely from parathyroid carcinoma ( 1).
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