Cerebral Metastasis of Parathyroid Carcinoma : Case Report
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概要
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高Ca血症と左半盲で発症した副甲状腺癌脳転移の臨床経過、MRI所見、外科的治療について報告した。副甲状腺癌の局所再発及び他臓器転移では、腫瘍の直接浸潤よりもむしろ二次性副甲状腺機能亢進による代謝性合併症により重篤となることが多く、放射線治療・化学療法に抵抗性で外科的摘出が最も有効な治療手段とされている。副甲状腺癌脳転移例の臨床経過についての報告は本例が初めてであり、嚢胞性腫瘍による巣症状と嚢胞内の副甲状腺ホルモンによる高Ca血症が認められた。本例の経験から、副甲状腺癌脳転移例における神経症状及び代謝性合併症に対して、早期の外科的摘出が有効であると思われた。
- 1996-02-15
著者
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山本 哲哉
筑波大学臨床医学系脳神経外科
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Kawakami Yasushi
Department Of Chemical Engineering University Of Tokyo
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NOSE Tadao
筑波大学臨床医学系脳神経外科
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Kawakami Yasushi
Department Of Biology Faculty Of Education Tottori University:(present Address)tottori West Technica
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Kawakami Yasushi
Departments Of Endocrinology Institute Of Clinical Medicine University Of Tsukuba
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MATSUMURA Akira
筑波大学臨床医学系脳神経外科
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FUJITA Keishi
筑波大学臨床医学系脳神経外科
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YAMASHITA Kamejiro
Departments of Endocrinology, Institute of Clinical Medicine, University of Tsukuba
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Yamashita Kamejiro
Departments Of Endocrinology Institute Of Clinical Medicine University Of Tsukuba
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Yamashita Kamejiro
Department Of Internal Medicine Institute Of Clinical Medicine University Of Tsukuba
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