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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Calcium Deposits And Nodules On Parathyroid Glands

I have been diagnosed as needing an operation on my parathyroid glands. This was over a year ago. I have high levels of calcium and nodules on the glands, there has been no other explanation of the reason to have the operation. I understand there could be substantial risks involved in this type of surgery. The only option suffered to me is an operation. Are there no pils or other therapies that could be used? I have been advised that I have had this for a long time. What would be my best option to find out more information?
Mon, 5 Feb 2024
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General & Family Physician,  's  Response
Hi,

The nodules on parathyroid glands are usually adenoma, which are non-cancerous. However, these nodule may cause symptoms of hyperparathyroidism leading to elevated calcium level with all its consequences. If the calcium levels are up to 12 mg/dl, then no treatment is required except for periodic observations of symptoms and calcium levels.

If the calcium levels are between 12-14 mg/dl and if there is no symptom or very mild symptoms, the surgery can be avoided, till presence of symptoms or level increases beyond 14 mg/dl. However, if the levels of calcium are >14 mg/dl, then surgery should be done, even in absence of symptoms. Above, are the consensus for management of parathyroid nodules with presence of hypercalcemia and in my opinion, you also need to be managed accordingly.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Suggest Treatment For High Calcium Deposits And Nodules On Parathyroid Glands

Hi, The nodules on parathyroid glands are usually adenoma, which are non-cancerous. However, these nodule may cause symptoms of hyperparathyroidism leading to elevated calcium level with all its consequences. If the calcium levels are up to 12 mg/dl, then no treatment is required except for periodic observations of symptoms and calcium levels. If the calcium levels are between 12-14 mg/dl and if there is no symptom or very mild symptoms, the surgery can be avoided, till presence of symptoms or level increases beyond 14 mg/dl. However, if the levels of calcium are 14 mg/dl, then surgery should be done, even in absence of symptoms. Above, are the consensus for management of parathyroid nodules with presence of hypercalcemia and in my opinion, you also need to be managed accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician