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タイトル: | 原発性上皮小体機能亢進症の臨床的検討 |
その他のタイトル: | A clinical study of primary hyperparathyroidism |
著者: | 後藤, 健太郎 橋本, 紳一 原, 暢助 鈴木, 宏 森田, 辰男 石川, 真也 森口, 英男 田中, 成美 小林, 裕 石山, 俊次 戸塚, 一彦 大場, 修司 徳江, 章彦 米瀬, 泰行 |
著者名の別形: | GOTO, Kentaro HASHIMOTO, Shinichi HARA, Yohsuke SUZUKI, Hiroshi MORITA, Tatsuo ISHIKAWA, Shinya MORIGUCHI, Hideo TANAKA, Shigemi KOBAYASHI, Yutaka ISHIYAMA, Shunji TOZUKA, Kazuhiko OHBA, Shuji TOKUE, Akihiko YONESE, Yasuyuki |
キーワード: | Primary hyperparathyroidism Clinical study |
発行日: | Aug-1986 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 32 |
号: | 8 |
開始ページ: | 1075 |
終了ページ: | 1084 |
抄録: | Eight cases of primary hyperparathyroidism (P-HPT) confirmed pathohistologically, between April, 1974 and January, 1986 at our department, were reviewed. The patients consisted of three males and five females, ranging in age from 38 to 62 years old with an average of 50.3 years. All the cases belonged to the urolithiasis type and seven patients were recurrent or/and multiple stone-formers. Positive rates of the laboratory values studied in relation with P-HPT were 100% in serum Ca, C terminal parathyroid hormone, and % TRP, 87.5% in urine Ca, 75% in serum Cl/P ratio, alkaliphosphatase, 50% in serum Cl, 37.5% in serum P and 0% in urine P. Seven cases had clinically apparent hypercalcemia, while one was a so-called borderline P-HPT with intermittent hypercalcemia. The correct diagnosis of the localization was obtained preoperatively in two cases by angiography and one by C.T and Tl-Tc subtraction scintigraphy. Histological findings of the tumors extirpated by the cervical operation were parathyroid adenomas in six cases and hyperplasia in two. During the course of the postoperative follow up, hypercalcemia and urolithiasis did not recur in any case including two of hyperplasia. |
URI: | http://hdl.handle.net/2433/118896 |
PubMed ID: | 3788732 |
出現コレクション: | Vol.32 No.8 |
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