5 doctors weighed in:
When one pth is in the 300 range, is surgery necessary?
5 doctors weighed in

Dr. Philip Rosenblum
Family Medicine
3 doctors agree
In brief: Check calcium, Vit D
Parathyroid hormone (PTH) is a hormone used by the body to regulate calcium balance.
Very high PTH levels can be seen with extremely low levels of both calcium and vitamin d. If those are normal, you should have an ultrasound and PTH scan. They may help determine if surgery is needed. But generally, if the PTH is that high, you should have the surgery. Severe elevations an cause a lot of problems.

In brief: Check calcium, Vit D
Parathyroid hormone (PTH) is a hormone used by the body to regulate calcium balance.
Very high PTH levels can be seen with extremely low levels of both calcium and vitamin d. If those are normal, you should have an ultrasound and PTH scan. They may help determine if surgery is needed. But generally, if the PTH is that high, you should have the surgery. Severe elevations an cause a lot of problems.
Dr. Philip Rosenblum
Dr. Philip Rosenblum
Thank
1 comment
Dr. Arthur Heller
If truly from parathyroid gland(s), need to evaluate if it is from an adenoma (generally benign tumor) of a single or more gland, vs overactivity of all the glands. Different surgical Rx.
Dr. Arthur Heller
Internal Medicine - Gastroenterology
1 doctor agrees
In brief: Maybe
Agree can be elevated with vitamin d deficiency, calcium deficiency, kidney failure.
Typically causes high blood calcium. If cause is from parathyroids, need to check if it is from an adenoma (generally benign tumor) of a single or 2 parathyroid glands, or if all four are overproducing hormone-different surgical rx. Sometimes there can be medical rx. If due to other cause, treat underlying.

In brief: Maybe
Agree can be elevated with vitamin d deficiency, calcium deficiency, kidney failure.
Typically causes high blood calcium. If cause is from parathyroids, need to check if it is from an adenoma (generally benign tumor) of a single or 2 parathyroid glands, or if all four are overproducing hormone-different surgical rx. Sometimes there can be medical rx. If due to other cause, treat underlying.
Dr. Arthur Heller
Dr. Arthur Heller
Thank
Dr. Vered Lewy-Weiss
Pediatrics - Endocrinology
In brief: Reason?
Pth levels can be elevated for different reasons.
Some require surgery and others don't. More information is necessary to comment further. Please provide more details. Thanks.

In brief: Reason?
Pth levels can be elevated for different reasons.
Some require surgery and others don't. More information is necessary to comment further. Please provide more details. Thanks.
Dr. Vered Lewy-Weiss
Dr. Vered Lewy-Weiss
Thank
Get help from a real doctor now
Dr. Mark Pack
Board Certified, Surgery
27 years in practice
3M people helped
Continue
107,000 doctors available
Read more answers from doctors