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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elevated PTH With High Levels Of Calcium. Scan Shows No Enlarged Parathyroid Nodules. Suggested Exporatory Parathyroid Surgery. Any Other Reason For High Calcium?

Hello,
I have very elevated PTH with high levels of calcium. My endocrinologist has done two Sestamibi scans and two thorough sound scans and we cannot see any of the parathyroid nodules being more or less enlarged. He's alarmed at my calcium levels, suggesting possible permanent kidney damage, and is advocating exploratory parathyroid surgery with a very experienced surgeon.
My question: Could there be ANY other cause (he's ruled out cancer with some test) of the hypercalcemia? Any what do you think of said surgery?
Thanks.
Mon, 26 Aug 2013
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General & Family Physician 's  Response
Hi, it appears that your doctor is suspecting the permanent kidney damage, so to exclude this he should confirm the diagnosis or the hyper parathyroidism, for that he want to get the surgery and biopsy of the para thyroid.
Thank you.
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Elevated PTH With High Levels Of Calcium. Scan Shows No Enlarged Parathyroid Nodules. Suggested Exporatory Parathyroid Surgery. Any Other Reason For High Calcium?

Hi, it appears that your doctor is suspecting the permanent kidney damage, so to exclude this he should confirm the diagnosis or the hyper parathyroidism, for that he want to get the surgery and biopsy of the para thyroid. Thank you.