Tertiary Renal Hyperparathyroidism
| Autor: | Josip Azman, Ksenija Lucin, Romana Jerković, Hrvoje Lalic, Dubravka Jurisić-Erzen, Spomenka Ljubić |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Hyperparathyroidism Renal hyperparathyroidism business.industry Endocrinology Diabetes and Metabolism medicine.disease Ionizing radiation Parathyroid carcinoma medicine Surgical excision In patient Radiology radiation-induced hyperparathyroidism parathyroid carcinoma Differential diagnosis business Right lower parathyroid gland |
| Zdroj: | The Endocrinologist. 19:226-228 |
| ISSN: | 1051-2144 |
| DOI: | 10.1097/ten.0b013e3181b622a9 |
| Popis: | Radiation-induced hyperparathyroidism in tertiary renal hyperparathyroidism was diagnosed in a patient that was exposed to ionizing radiation for 25 years. After preoperative localization, surgical excision showed an enlarged right lower parathyroid gland with invasion into the surrounding structures. Pathohistological examination established the diagnosis of parathyroid hyperplasia, but the main differential diagnosis of parathyroid carcinoma was due to the type of growth seen in patients who were over exposed to x-irradiation. During the next 5 years, regularly checking biochemical markers and imaging studies every 6 months, no further local growth or metastases of parathyroid carcinoma were found. This report demonstrates, for the first time, the effect of low dose ionizing radiation on parathyroid health. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|