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Subtotal Parathyroidectomy for Tertiary Hyperparathyroidism: a Case Report and Literature Review

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초록

Despite the correction of secondary renal hyperparathyroidism after successful kidney transplantation, some recipients have persistent hyperparathyroidism due to autonomous hypertrophied parathyroid glands. St. Goar first identified and termed this disease as tertiary hyperparathyroidism. Surgery, either subtotal parathyroidectomy or total parathyroidectomy with autotransplantation, is the main treatment for tertiary hyperparathyroidism. Here, we report a case of a patient with tertiary hyperparathyroidism after two times of kidney transplantation who underwent subtotal parathyroidectomy and also review the relevant literature.

Abstract

Despite the correction of secondary renal hyperparathyroidism after successful kidney transplantation, some recipients have persistent hyperparathyroidism due to autonomous hypertrophied parathyroid glands. St. Goar first identified and termed this disease as tertiary hyperparathyroidism. Surgery, either subtotal parathyroidectomy or total parathyroidectomy with autotransplantation, is the main treatment for tertiary hyperparathyroidism. Here, we report a case of a patient with tertiary hyperparathyroidism after two times of kidney transplantation who underwent subtotal parathyroidectomy and also review the relevant literature.

참고문헌 (12)

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  7. Kerby JD, "Operative treatment of tertiary hyperparathyroidism:a single-center experience", Ann Surg, 227(6), pp.878~886 (1998)
  8. Hsieh TM, "Total parathyroidectomy versus subtotal parathyroidectomy in the treatment of tertiary hyperparathyroidism", Am Surg, 78(5), pp.600~606 (2012)
  9. Pitt SC, "Secondary and tertiary hyperparathyroidism, state of the art surgical management", Surg Clin North Am, 89(5), pp.1227~1239 (2009)
  10. Schlosser K, "Surgical treatment of tertiary hyperparathyroidism:the choice of procedure matters!", 31(10), pp.1947~1953 (2007)
  11. Pitt SC, "Tertiary hyperparathyroidism: is less than a subtotal resection ever appropriate? A study of long-term outcomes", Surgery, 146(6), pp.1130~1137 (2009)
  12. Tang JA, "Parathyroidectomy for tertiary hyperparathyroidism:a systematic review", Am J Otolaryngenol, 38(5), pp.630~635 (2017)

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