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Abstract The parathyroid tumours are important to lillow, as they are responSible for most of primary cases of hyperparathyroidism i.e. about 80 % of cases. Tumours of prathyroid glands are diagnosed more frequently today than a decade ago, because it is being sought more aggressively. ~lost hospitals now include calclUm and phosphorus determinat10n as a part of their admission screening laboratory evaluation as it is the only means to diagnose tumours as early as possible. The early diagnosis of parathyroid tumours is badly needed because of the followmg pomts:- 1. Parathyroid tumours are regarded as the major cause of primary hyper parathyroidism, and in turn primary hyperparathyroidism, is thought to occur in 0.1- 0.5% of general population, which ts good proportion. 2. Parathyroid tumours are very small to be diagnosed by clintcal examination, and ”’e have to screen any patient with suspicious symptoms for parathyroid tumours. 3. It 1s very difficult to diagnose parathyroid tumours in its early stage clinically, as they manifest in their early stage by non specific symptoms. |