기능성 부갑상선 선종에 의한 원발성 부갑상선 기능항진증

• 영문명: Primary Hyperparathyroidism With Functioning Parathyroid Adenoma -A Case Report-
• 발행기관: 대한두경부종양학회
• 저자명: 진형민(Hyung Min Chiu) 이승하(Seung Ha Lee) 이윤복(Yoon Bok Lee) 김준기(Jun Gi Kim) 박우배(Woo Bae Park) 전정수(Chung Soo Chun)
• 간행물 정보: 『대한두경부종양학회지』제12권 제1호, 58~64쪽, 전체 7쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1996.06.30

영문 초록

The parathyroid adenoma is the most common cause of the primary hyperparathyroidism. The characteristic of primary hyperparathyroidism is hypercalcemia and high value of serum parathyroid hormone. The primary hyperparathyroidism with parathyroid adenoma is treated by excision of parathyroid gland involved. Especially, parathyroid storm in patients with primary hyperparathyroidism is more prevalent than commonly appreciated. The symptoms and signs of the syndrome are not only due to the hypercalcemia, but also to the toxic effects of the parathyroid hormone. Its wide, but nonspecific clinical presentations make it easily confused with other cardiovascular or renal diseases. The mortality rate in untreated cases of parathyroid storm is essentially 40%. A 33 year old woman with primary hyperparathyroidism was found to have a left lower parathyroid adenoma, presented with hypercalcemic crisis. Initially, good responsiveness to a saline infusion, furosemide administration was noted. Unfortunately, she became consciousness disturbance after fine-needle aspiration of the parathyroid tumor. The recurrent storm was refractory to medical therapy, but was treated succesfully by emergent surgical removal tumor revealed a parathyroid adenoma with parathyroid hormone. Hypercalcemia was alleviated postoperatively. These observations corroborated a functioning parathyroid adenoma.

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키워드

Primary hyperparathyroidism Parathyroid adenoma