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KMID : 0882419960510030380
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Korean Journal of Medicine
1996 Volume.51 No. 3 p.380 ~ p.386
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Metastatic Pulmonary and Gastric Calcification in a Patient with a Parathyroid Adenoma
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송건훈
변영섭/차봉수/이지현/남문석/송영득/임승길/이현철/허갑범
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Abstract
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Metastatic calcification of soft tissues due to hypercalcemia is a well-recognized complication of various malignancies and renal failure. It results from metabolic derangement in which calcium salts are deposited in otherwise normal tissuel. The
calcific process principally affects lungs, stomach, kidneys and ether soft tissues. With advance of nuclear imaging modalities, metastatic calcification can be detected earlier so that appropriate therapy may be instituted.
A case of parathyroid adenoma with metastatic pulmonary and gastric calcification is presented. She showed intense concentrations of bone-seeking radionuclide(99mTechnetium) in both lungs and stomach on routine bone scan. Renal function of the
patients
was moderately impaired, Right inferior parathyroidectomy was performed. Her serum calcium concentration decreased postoperatively and had to be maintained with orally administered calcium and aldactazide. After the operation the clinical course
has
been uneventful Follow-up bone scan performed lo days following the operation revealed persistence of lung uptake despite restoration of normal blood calcium concentration, but disappearance of gastric uptake.
So we report the case of parathyroid adenoma complicating metastatic pulmonary and gastric calcification with review of literature.
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KEYWORD
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