Is There a Tertiary Hyperparathertism?

Tertiary hyperparathertism is a very rare cause of hyper parathyroidism. These patients will have calciums of about 15, extremely high and may have a palpable mass. This is an inblock resection with ipsilateral thyroid and central neck dissection. You are going to palliative surgery and then give them calcium lowering drugs such as bisposphenates. Great s won thos cancers were.