原発性上皮小体機能亢進症に対する治療経験--最近の手術例より

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Our experience with surgical treatment of primary hyperparathyroidism is described. Five patients who were recently operated on, were composed of three males and two females, ranging from 24 to 66 years in age. Besides hypercalcemia, each patient had a main clinical manifestation, such as pathological bones (2 cases), peptic ulcer (2 cases) and ureterolithiasis (1 case). As the methods for localizing parathyroid gland tumors, 201T1 scincigraphy combined with 123I-Na scincigraphy or 99TcO4-scincigraphy, and computed tomography (CT) were diagnostic. Histological examinations showed adenomas in four cases and hyperplasia in one. Postoperatively, hypercalcemia reappeared ten months after surgery in a patient with hyperplasia, and hypocalcemia developed for a long time after surgery in a patient with pathological bones.
耳鼻咽喉科臨床学会の論文