State of calcium and phosphorus metabolism in patients with papillary thyroid cancer after thyroidectomy

The aim of the study ? to analyze the changes in calcium and phosphorus metabolism in patients who underwent thyroidectomy due to papillary thyroid cancer. Materials and methods. 50 patients with papillary thyroid cancer were included in the study. All patients underwent thyroidectomy and post-op received suppressive doses of thyroxine. Results and discussion. Post ?op during the first 2 days 14 (28%) patients had complaints characteristic for hypoparathyroidism. The initial thyroid volume did not influence the frequency of development of postoperative hypoparathyroidism. The level of parathyroid hormone (PTH) after thyroidectomy was within the normal range in 39 patients (78%), 11patients (22%) had low level of PTH. The normal postoperative level of PTH eliminates further development of symptomatic hypocalcemia. Conclusions. Transient hypocalcemia in early postoperative period after thyroidectomy develops in 32% patients with papillary thyroid cancer.