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KMID : 0361120010150020251
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Korean Journal of Transplantation
2001 Volume.15 No. 2 p.251 ~ p.255
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A Case of Tertiary Hyperparathyroidism Combined with Thyroid Papillary Carcinoma
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김문규/Moon Kyu Kim
김명수*/심명숙/김미진/신영구/배금석*/강성준*/엄민섭†/정순희†/정춘희/Myoung Soo Kim*/Myung Sook Shim/Mi Jin Kim/Young Goo Shin/Keum Suck Bae*/Seong Joon Kang*/Min Seob Eom†/Soon Hee Jung†/Choon Hee Chung
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Abstract
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Secondary hyperparathyroidism is the condition which leads to excessive production of the parathyroid hormone secreted to compensate for longstanding hypocalcemia in chronic renal failure. After restoration of normal renal function, some patients continue to have autonomous parathyroid hyperfunction. In 1963 St. Goar termed it tertiary hyperparathyroidism. Hyperparathyroidism in the chronic renal failure is mostly well managed medically, but sometimes may require surgical intervention in refractory hyperparathyroidism. Recently, we have experienced a female patient diagnosed as tertiary hyperparathyroidism with persistent hypercalcemia after renal transplantation and report the results of subtotal parathyroidectomy and thyroid right lobectomy due to hyperparathyroidism and thyroid papillary carcinoma found coincidentally.
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