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Secondary hyperparathyroidism with parathyroid hyperplasia is a common complication of chronic renal failure. We herein report a dialysis case of hyperparathyroidism with adenoma change of all four parathyroid glands. The patient was a female with a 14-years history of dialysis and demonstrated hypercalcemia, hyperphospheremia, and an increased level of intact parathyroid hormone (PTH). Diagnostic images including ultrasonography and magnetic resonance indicated swelling of all four parathyroid glands, which were pathologically diagnosed as adenoma indicating tertiary hy-perparathyroidism. We did not autograft the parathyroid tissue because of the possibility that the grafted adenoma tissue might show tumor growth. Further investigations into the management of parathyroid graft are needed in the cases of tertiary hyperparathyroidism.
特定非営利活動法人日本頭頸部外科学会の論文