SavedAdd your journal

Journals / ENTcase / 2018 / Cilt: 4 - Sayı: 3

DÖRT- PARATİROİD BEZİ ADENOMU

QUADRUPLE -GLAND PARATHYROID ADENOMA

Berat DEMİR
Adem BİNNETOĞLU
Journal
ENTcase
Pages
98–101
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Bilgimize göre, dört adenom görülen tersiyer hiperparatiroidizm olan bir hasta daha önce literatürde bildirilmemiştir.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Sekonderhiperparatiroidizmuzunsürelidiyalizinneden olduğu sık görülen ciddi bir komplikasyondur.
📊
Key Findings & Data:Tersiyer hiperparatiroidizm başarılı böbrek nakli sonrasında kronikböbrekyetmezliğiöyküsüolanhastalardaoluşur.
💡
Conclusion & Impact:Bilgimize göre, dört adenom görülen tersiyer hiperparatiroidizm olan bir hasta daha önce literatürde bildirilmemiştir.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Sekonderhiperparatiroidizmuzunsürelidiyalizinneden olduğu sık görülen ciddi bir komplikasyondur. Tersiyer hiperparatiroidizm başarılı böbrek nakli sonrasında kronikböbrekyetmezliğiöyküsüolanhastalardaoluşur. Hem sekonder hem tersiyer hipertiroidizmde paratiroid bezlerinde hiperplazi oluşur Biz yazımızda tersiyer hiperparatiroidizm ve tiroid nodülleri için total tiroidektomi ve subtotal paratiroidektomi operasyonu geçirenbirolgusunulduancaksonrapatolojisonuçlarına göre " dört bez paratiroid adenomu " olduğu görüldü. Bilgimize göre, dört adenom görülen tersiyer hiperparatiroidizm olan bir hasta daha önce literatürde bildirilmemiştir.

Özet

Secondary hyperparathyroidism is a serious common complication caused of prolonged dialysis. Tertiary hyperparathyroidism occurs in patients with a history of chronic renal failure after successful renal transplant. Secondary and tertiary hyperthyroidism are always associated with hyperplasia involving multiple parathyroid glands. We present a case report of a patient who was undergoing total thyroidectomy and subtotal parathyroidectomy for tertiary hyperparathyroidismand thyroid nodules, but was found to have “- quadruple gland parathyroid adenoma” based on pathology results after enlargement of all parathyroids were observed. To the best of our knowledge, this finding has not been reported in the literature before now in a patient with tertiary hyperparathyroidism.

🔖

Cite This Article

DEMİR, B., BİNNETOĞLU, A. (2018). DÖRT- PARATİROİD BEZİ ADENOMU. ENTcase, Cilt: 4 - Sayı: 3, 98–101. https://ajindex.com/articles/154377

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (7)

  1. Silver J, Naveh-Many T. Phosphate and the parathyroid. Kidney Int. 2009;75:898–905.
  2. Decker PA, Cohen EP, Doffek KM, et al. Subtotal parathyroidectomy in renal failure: still needed after all these years. World J Surg. 2001; 25:708–712.
  3. Diethelm AG, Edwards RP, Whelchel JD. The natural history and surgical treatment of hypercalcemia before and after renal transplantation. Surg Gynecol Obstet. 1982;154:481–490.
  4. Buchmann P, Keusch G, Ittner J, et al. Tertiary hyperparathyroidism after cadaver-kidney transplantation. Transplant Proc 1984; 16:1324. Kilgo MS, Pirsch JD, Warner TF, Starling JR. Tertiary hyperparathyroidism after renal transplantation: surgical strategy. Surgery 1998; 124:677–683.
  5. Kim H, Cheigh JS, Ham HW. Urinary stones following renal transplantation. Korean J Intern Med 2001; 16:118–122.
  6. Stanbury SW, Lumb GA, Nicholson WF. Elective subtotal parathyroidectomy for renal hyperparathyroidism. Lancet 1960; 1(7128):793- 799. Bergson EJ, Heller KS. The clinical significance and anatomic distribution of parathyroid double adenomas. J Am Coll Surg 2004;198:185. Milas M, Wagner K, Easley KA, Siperstein A, Weber CJ. Double adenomas revisited: nonuniform distribution favors enlarged superior parathyroids (fourth pouch disease). Surgery 2003;134:995. Tezelman S, Shen W, Shaver JK, et al. Double parathyroid adenomas: clinical and biochemical characteristics before and after parathyroidectomy. Ann Surg 1993;218:300. Tominaga Y, Matsuoka S, Uno N. Surgical and Medical treatment of secondary hyperparathyroidism in patients on continuous dialysis. World J Surg 2009;33:2335–42.
  7. Perez-Ruiz L, Betriu A, Pelayoel A, Fernandez E. New technique of parathyroidectomy to prevent parathyromatosis and hypoparathyroidism. Nephrol Dial Transplant 1999; 14(6):1553-1555. Laı E,Ching A,Leong T Secondary and tertiary hyperparathyroidism:Role of preoperative localization. J. Surg. 2007; 77: 880–882.