A Case of Parathyroid Carcinoma with Systemic Calcification

전신성 석회증을 동반한 부갑상선 암 1예

  • Kim, Heui-Sik (Department of Internal Medicine, Pohang St. Mary's Hospital) ;
  • Lee, Chan-Woo (Department of Internal Medicine, Pohang St. Mary's Hospital) ;
  • Nam, Sang-Yiup (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Park, Jin-Chul (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Yoon, Ji-Sung (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Jae-Chun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Won, Kyu-Chang (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Cho, Ihn-Ho (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Kim, Tae-Nyun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Hyoung-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Hyun, Myung-Soo (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Lee, Hyun-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University)
  • 김희식 (포항성모병원 내과) ;
  • 이찬우 (포항성모병원 내과) ;
  • 남상엽 (영남대학교 의과대학 내과학교실) ;
  • 박진철 (영남대학교 의과대학 내과학교실) ;
  • 윤지성 (영남대학교 의과대학 내과학교실) ;
  • 이재춘 (영남대학교 의과대학 내과학교실) ;
  • 원규장 (영남대학교 의과대학 내과학교실) ;
  • 조인호 (영남대학교 의과대학 내과학교실) ;
  • 김태년 (영남대학교 의과대학 내과학교실) ;
  • 이형우 (영남대학교 의과대학 내과학교실) ;
  • 현명수 (영남대학교 의과대학 내과학교실) ;
  • 이현우 (영남대학교 의과대학 내과학교실)
  • Published : 1997.12.30

Abstract

Hyperparathyroidism due to parathyroid cancer is rare. It is difficult to diagnose preoperatively but there should be an increased index of suspicion in those parathyroid patients with palpable neck masses, profound hypercalcemia(greater than 14mg/dl), marked increase of the parathyroid hormone level to greater than twice normal, and significant metabolic complications. In parathyroid cancer, systemic calcinosis is an extremely rare manifestation. The most common metastatic calcification site is lung and the other involved site is stomach, liver, skin and heart. After resection of parathyroid tumor, this systemic calcinosis is self-limiting. We experienced a patient with primary hyperparathyroidsm, presented with metastatic calcification in the lung and stomach disappeared by successful parathyroidectomy.

저자들은 원발성 부갑상선 기능 항진증과 함께 전신성 석회증을 동반한 부갑상선암 환자에서 부갑상선암 제거후 골 스캔상 폐와 위장의 전신성 석회화가 사라진 증례를 경험하여 보고하는 바이다.

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