The definition, pathophysiology, and diagnosis of tertiary hyperparathyroidism is reviewed. Parathyroidectomy is the mainstay of management, and the indications and timing of surgery are explained. The operative approach is described. This review contains 1 figure, 1 table, and 19 references. Key Words: cinacalcet, hungry bone syndrome, parathyroid adenoma, parathyroidectomy, parathyroid hyperplasia, renal transplantation, tertiary hyperparathyroidism
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