• 제목/요약/키워드: Parathyroid

검색결과 253건 처리시간 0.027초

Hypercalcemia as Initial Presentation of Metastatic Adenocarcinoma of Gastric Origin: A Case Report and Review of the Literature

  • Kumar, Mehandar;Kumar, Abhishek;Kumar, Vinod;Kaur, Supreet;Maroules, Michael
    • Journal of Gastric Cancer
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    • 제16권3호
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    • pp.191-194
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    • 2016
  • Hypercalcemia of malignancy due to metastatic gastric adenocarcinoma is extremely rare; in fact, to the best of our knowledge, only three case reports of hypercalcemia associated with metastatic gastric adenocarcinoma have been published in the literature to date. Herein, we report a rare case involving a 61-year-old African-American female who had hypercalcemia at initial presentation and who was later diagnosed with poorly differentiated gastric adenocarcinoma with extensive liver metastases, without bone involvement. She was found to have elevated parathyroid hormone-related peptide and normal parathyroid hormone levels. Despite aggressive treatment, she died within a few months of diagnosis.

Effects of Parathyroid Hormone on the Fluidity of the Plasma Membrane Vesicles of Cultured Osteoblasts

  • Kang, Jung-Sook
    • Journal of Photoscience
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    • 제8권3_4호
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    • pp.87-92
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    • 2001
  • Intramolecular excimer formation of 1,3-di(1-pyrenyl)propane (Py-3-Py) and fluorescence polarization of 1,6-diphenyl-1,3,5-hexatriene (DPH) were used to investigate the effects of parathyroid hormone (PTH) on the bulk bilayer fluidity of the plasma membrane vesicles isolated from cultured osteoblasts (OB-PMV). In a dose-dependent manner, rat PTH-(1-34) [rPTH-(1-34)] increased the excimer to monomer fluorescence intensity ratio (I'/I) of Py-3-Py and decreased the anisotropy (r) of DPH in OB-PMV. This indicates that PTH increased both the lateral and rotational diffusion of the probes in OB-PMY. Selective quenching of DPH fluorescence by trinitrophenyl groups was utilized to examine the transbilayer fluidity asymmetry of OB-PMV. The anisotropy, limiting anisotropy, and order parameter of DPH in the inner monolayer were 0.024, 0.032, and 0.062 greater than calculated for the outer monolayer of OB-PMY. Selective quenching of DPH fluorescence by trinitrophenyl groups was also utilized to examine the transbilayer effects of PTH on the fluidity of OB-PMV. rPTH-(1-34) had a greater fluidizing effect on the outer monolayer as compared to the inner monolayer of OB-PMV. Thus, it has been proven that PTH exhibits a selective rather than nonselective fluidizing effect within transbilayer domains of OB-PMV.

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최소침습 방사능 유도 부갑상선 수술 (Minimally Invasive Radio-guided Parathyroid Surgery)

  • 정웅윤;장항석;이종두;박정수
    • 대한두경부종양학회지
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    • 제15권2호
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    • pp.194-199
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    • 1999
  • Introduction: Since 1996, Dr. James Norman has successfully performed mimimally invasive radio-guided parathyroidectomy(MIRP) using intraoperative nuclear mapping with $^{99m}Tc$ sestamibi scanning and radioactivity detection probe. Objectives: We aimed to introduce this new surgical technique and evaluate it's efficacy by our own experiences. Method: From May to October 1999, five consecutive patients with primary hyperparathyroidism underwent parathyroidectomy by using modified MIRP technique. $^{99m}Tc$ sestamibi scanning was performed 1.0 or 1.5 hour before operation. After intraoperative localization of the tumor under the guidance of quantitative gamma counting with a NEVIGATOR probe, an unilateral small skin incision(3.0-4.0cm) was placed. Without a skin flap, the strap muscle was directly divided with the use of a Harmonic scalpel. After careful dissection, the parathyroid tumor was removed. Result: In all patients, a single adenoma could be easily detected and removed by this new technique. Mean incision length was 3.2cm(3.0-4.0cm) and operative time ranged from 40 to 110minute. All the patients were discharged within 2 days of surgery without any complication. Conclusion: This new operative technique could become the most minimally invasive alternative to the standard operative procedure for parathyroid adenoma.

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부갑상선 선종으로 오인된 흉선종 환자 1예 (A Case of Thymoma Mimicking Parathyroid Adenoma)

  • 박상헌;황수민;박민우;정광윤
    • 대한두경부종양학회지
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    • 제29권2호
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    • pp.68-70
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    • 2013
  • Thymoma is the most common anterior mediastinal mass in adult, and arises from thymic epithelial cells which includes consists various proportions of epithelial and lymphocytic aspect. Thymic epithelial cell arises from the ventral wings of the third and fourth branchial pouches in the embryo, and these cells are considered tumorous condition of thymoma. Surgical resection is main treatment of thymoma. And adjuvant chemotherapy or radiation is considered due to postoperative pathologic diagnosis. We experienced a tumor which located from left anterior neck along superior mediastinum on chest radiograph incidentally and diagnosed parathyroid adenoma clinically. After surgical removal, final pathologic report was thymoma. Here, we present the case with a review of the related literatures.

Endoproteolytic Processing of Human Parathyroid Hormone in Saccharomyces cerevisiae Mutants Lacking Genes Encoding the Yap3, Mkc7, and Kex2 Endoproteases

  • Choi, Won-A.;Kang, Hyun-Ah;Chung, Bong-Hyun
    • Journal of Microbiology and Biotechnology
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    • 제9권5호
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    • pp.679-682
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    • 1999
  • When the human parathyroid hormone (hPTH) is expressed as a secretory product in S. cerevisiae, most of the secreted hPTH is internally cleaved by endoproteolytic processing. To investigate whether the yeast endoproteases such as Kex2p, Yap3p, and Mkc7p are involved in the endoproteolytic processing of hPTH in S. cerevisiae, hPTH was expressed in S. cerevisiae mutants deficient in one or two of the following well-known endoproteases such as Kex2p, Mkc7p, and Yap3p. Among these mutants, the yap3-disrupted(yap3$\Delta$) and yap3/mkc7-disrupted (yap3Δmkc7$\Delta$) yeasts showed a significant reduction in the extent of hPTH proteolysis. In contrast, the mkc7-disrupted (mkc7$\Delta$) yeast did not reduce the proteolysis of hPTH as compared to the wild type. This suggests that Mkc7p is not involved in the endoproteolytic processing of hPTH. It was also found that the kex2-disrupted (kex2$\Delta$) mutant was not able to secrete a detectable amount of hPTH.

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초음파 유도 에탄올 주입법을 이용한 개의 원발성 부갑상선항진증 치료 (Percutaneous Ultrasound Guided Ethanol Ablation of Primary Hyperparathyroidism in a Dog)

  • 최지혜;김진경;김현욱;김학상;김준영;윤정희
    • 한국임상수의학회지
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    • 제24권3호
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    • pp.457-460
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    • 2007
  • Primary hyperparathyroidism (PHP) is rare in dogs. Mainly functional solitary parathyroid adenoma causes hypercalcemia due to excessive autonomous secretion of parathyroid hormone (PTH). PHP can be diagnosed based on serum calcium phosphorus, ionized calcium and PTH, and cervical ultrasound provides important information about the number size and location of parathyroidal lesion. Ultrasound guided intralesional ethanol injection has been used as an alternative to surgical treatment of PHP. In this case, PHP was diagnosed in 12 year-old Pug with clinicopathologic examination and cervical ultrasound, and the parathyroidal mass was ablated successfully through ultrasound guided ethanol injection.

재조합 부갑상선 흘몬의 일반약리작용 (General Pharmacological Properties of Recombinant Human Parathyroid Hormone)

  • 이은방;장혜옥;이향주;천선아
    • Biomolecules & Therapeutics
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    • 제6권2호
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    • pp.159-164
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    • 1998
  • General pharmacological properties of recombinant human parathyroid hormone (hPTH) were examined. The administration of hPTH (7, 35 and 175 lU/kg sc) in mice had no effects in general behavior and central nervous system, and no influences on normal body temperature, writhing syndromes induced by 0.7% acetic acid solution and chemoshock produced by strychnine and pentetrazol solution. hPTH (9 and 44 lU/kg, sc) given to anesthetized rabbits showed no effect on blood pressure of carotid artery and respiration, and it did not influence the responses produced by injection of acetylcholine or epinephrine. It showed no direct effect at 4.4$\times$10$_{-2}$IU/ml in isolated stomach fundus and uterus of rats and ileum of guinea-pig, and it also showed no inhibition of contraction produced by acetylcholine, oxytocin, serotonin and histamine in the above-mentioned preparations. It did not influence intestinal propulsion at the doses of 7,35 and 175 lU/kg sc in mice. This drug exhibited no effect on urinary excretion at the doses of 7 and 35 lU/kg sc in rats. However, at a dose of 175 lU/kg sc, it showed a decreased urination along with decreased excretion of potassium, sodium and chloride ion. These results indicate that hPTH does not exert any of serious pharmacological effects except the inhibition of urination at a highest dose used.

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Intermittent Administration of Parathyroid Hormone for Orthodontic Tooth Movement in Mongrel Dogs: Preliminary Study

  • Won-Ho Kim;Bo Ram Lee;Hey-Yun Kim;Minji Kim;Jin-Woo Kim
    • Journal of Korean Dental Science
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    • 제16권2호
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    • pp.182-191
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    • 2023
  • Purpose: This study investigated the orthodontic tooth movement after weekly parathyroid hormone (PTH) injection in mongrel dogs and analyzes bone formation activity on the tension and pressure sides of the tooth movement in mongrel dogs. Materials and Methods: Three mongrel dogs were used in this study. The first premolar was extracted and orthodontic force using 150 g of closed coil springs between the canine and second premolar was applied. The low-dose PTH group (PTH_1) and high-dose PTH group (PTH_2) received weekly injections of 1.61 ㎍/kg and 3.23 ㎍/kg of PTH, respectively. The control group received weekly injections of 1 ml of saline. Clinical, histomorphometric analysis were carried out. Result: The orthodontic tooth movement was greatest in the PTH_2 group and the lowest in the control group. Fluorescence staining images showed higher bone remodeling on the tension side of the tooth movement in the PTH_1 and PTH_2 groups. PTH_2 group showed a thicker labeling band than the PTH_1 group. PTH_2 group showed the highest mineral apposition rate and bone formation rate, followed by the PTH_1 group and the control group. Conclusion: Weekly intermittent PTH injection, especially in the short-term and at higher doses with orthodontic force, successfully increased orthodontic tooth movement and bone remodeling in mongrel dogs.

부갑상선 신티그라피를 시행한 환자들의 병소 국소화에 따른 후향적 분석연구 (Quantitative Analysis of $^{99m}Tc$-MIBI Scan for Localization of Parathyroid Lesions)

  • 이무석;이효영;윤종준;이화진;송현석;박세윤;정지욱
    • 핵의학기술
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    • 제13권3호
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    • pp.76-80
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    • 2009
  • $^{99m}Tc$-MIBI는 adenoma뿐만 아니라, hyperplasia, carcinoma에서 방사능섭취가 증가된다. 이에 본 연구는 $^{99m}Tc$-MIBI로 국소화 된 병소를 정량화함으로써, 조직검사로 확진된 adenoma, hyperplasia 그리고 carcinoma를 후향적으로 분석 하였다. 2002년 4월부터 2009년 1월까지 부산대병원에서 조직검사결과 adenoma, hyperplasia, carcinoma로 확진된 환자 27명 (Male: 6, Female: 21, Mean age: 47.5)을 대상으로 Adac사의 Solus Epic 장비를 이용하여 Double-phase $^{99m}Tc$-MIBI parathyroid scan(조기 영상 15분, 지연영상 2시간)을 실시하였다. ADAC Laboratories, Ver. 4.20 software를 이용하여 지연영상에서 병변 부위와 비 병변(L/NL)부위에 각각 관심 영역을 설정하였고, 조기 영상에서도 같은 크기, 같은 위치에 관심영역을 설정하였다. 또한, 병변 부위에 종축을 설정하였다. 각각의 관심 영역에서 평균값(Mean value)으로 병변 대 비병변의 섭취율비(L/NL ratio)을 구하고, 배출률(%, washout rate)은 (조기영상방사능계수치-조기영상방사능계수치)/지연영상방사능계수치${\times}100$의 공식으로 구하였으며, count profile을 이용해 종축의 길이를 측정하였다. 조기 영상에서 병변 대 비병변의 섭취율비(L/NL ratio)는 adenoma가 $1.53{\pm}0.41$, hyperplasia가 $1.38{\pm}0.27$, carcinoma가 $1.45{\pm}0.64$로 유의한 차이가 없었다(p>0.05). 지연영상에서 병변 대 비병변의 섭취율비(L/NL ratio)는 adenoma가 $1.56{\pm}0.43$, hyperplasia가 $1.33{\pm}0.10$, carcinoma가 $1.83{\pm}0.79$로 유의한 차이가 없었다(p>0.05). 병소부위의 종축길이는 adenoma가 $2.11{\pm}0.67$, hyperplasia가 $2.23{\pm}0.75,$ carcinoma가 $2.20{\pm}0.97$로 유의한 차이가 없었다(p>0.05). 그리고, 배출률(%, washout rate)은 adenoma가 $31.59{\pm}13.97$, hyperplasia가 $37.8{\pm}5.69$, carcinoma가 $17.73{\pm}11.02$로 hyperplasia가 carcinoma 보다 의미있게 높았다(p<0.05, p=0.028 by Kruskal-willis statistic, Dunn's Multiple comparison test). 이는 hyperplasia와 carcinoma를 감별하는데 도움이 되었다.

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난소 절제 흰쥐의 골대사에 미치는 별갑의 영향 (Effects of Amydae Carapax on Bone Metabolism in Ovariectomized Rats)

  • 박종혁;윤철호;정지천
    • 대한한의학회지
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    • 제23권3호
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    • pp.54-62
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    • 2002
  • Objectives : This study was undertaken to investigate the effects of Amydae Carapax (AC) on parameter related to bone metabolism in ovariectomized rats. Methods : We measured alkaline phosphatase activity and contents of estrogen, calcium, hydroxyproline, osteocalcin, calcitonin and parathyroid hormone after the ovariectomized rats were treated with AC for 30 days. Results : Serum estrogen, calcium and calcitonin contents in ovariectomized rats significantly decreased, but increased after AC treatment. [Significant increase of serum alkaline phosphatase activity, parathyroid hormone activity and osteocalcin content in ovariectomized rats was remarkably decreased by AC treatment. Increase of urinary calcium and hydroxyproline content in ovariectomized rats was decreased by AC treatment.] Conclusions : These results shows that AC has the ability to counteract abnormal calcium metabolic processes due to sex hormone inequality, promoting bone absorption and inhibiting bone formation.

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