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KMID : 0371320000590020270
Journal of the Korean Surgical Society
2000 Volume.59 No. 2 p.270 ~ p.274
Primary Hyperparathyroidism Caused by a Giant Parathyroid Adenoma -A case report-
Á¤¼ºÈÄ/Sung Hoo Jung
À¯Èñö/°­³²ºÎ/ÀÌ»ó¿ë/°­¸íÀç/Hee Chul Yu/Nam Poo Kang/Sang Yong Lee/Myoung Jae Kang
Abstract
Primary hyperparathyroidism is a relatively rare disease entity in Korea. It is characterized by severe skeletal and renal changes due to hypersecretion of parathyroid hormone and rarely shows peptic ulceration, hypertension, pancreatitis and
impaired
mentality. Primary hyperparathyroidism is most commonly caused by an adenoma, or hyperplasia and rarely by cancer of the parathyroid gland. The authors experienced a case involving a giant parathyroid adenoma in a 62-year-old female. The main
symptoms
were general weakness, anorexia, and constipation. We detected the giant parathyroid adenoma on the anterior neck by using preoperative localization methods, such as ultrasonography, and a thallium-technetium subtraction scan. A parathyroidectomy
was
carried out, and the parathyroid adenoma measured 5.0 cm?3.2 cm in size and 12 gm in weight. Clinical laboratory reports and symptoms were normalized with no sequelae. We report this case with a review of the literature related to sizes and
weights
of
adenomas.
KEYWORD
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