And the good news is that surgery is very successful in treating these symptoms.
Adapted from Chan, Eigelberger: Ann Surg 2004
Effect of Surgery
Blood Changes and Symptoms Not Related
This is a very important slide because it may explain why some patients are not referred for surgery. It shows that a patient can have equally bad symptoms if their blood level changes are mild or severe. Some physicians do not refer patients because they appear to only have mild elevations of blood calcium.
I see patients who have troublesome symptoms with mild disease, particularly fatigue, and some patients with marked blood calcium elevation who appear to have no symptoms.
Adapted from Eigelberger 2004