Secondary hyperparathyroidism (shPT)
In rare cases, subtotal parathyroidectomy (partial removal of the parathyroid gland) may be necessary.
Indications: secondary hyperparathyroidism (shPT) with:
- Severe hypercalcemia (tertiary hyperparathyroidism: parathyroid hormone level ↑, calcium level ↑).
- Kidney transplant patients with hypercalcemia (calcium excess) and progressive functional decline of the graft (without other explanation of the genesis).
- Therapy-resistant pruritus (itching).
Tertiary hyperparathyroidism (tHPT)
Surgical therapy is indicated for marked cases of osteoclastoma and ectopic mineralization.