Question

A 52-year-old woman presents with polyuria, polydipsia, and hypercalcemia. Imaging reveals a parathyroid adenoma. Which surgical intervention does NICE recommend for primary hyperparathyroidism with an adenoma?

Accepted Answer

Focused parathyroidectomy of the affected gland

Answer

Total parathyroidectomy (all four glands)

Answer

No surgery, medical management with bisphosphonates

Answer

Radiation therapy to the neck

Answer

High fluid intake alone

Practice question

A 52-year-old woman presents with polyuria, polydipsia, and hypercalcemia. Imaging reveals a parathyroid adenoma. Which surgical intervention does NICE recommend for primary hyperparathyroidism with an adenoma?