A CASE OF HYPERPARATHYROIDISM DUE TO PARATHYROID ADENOMA IN A WOMAN UNDER CHRONIC HEMODIALYSIS

Hiroyuki INOUE; Hitoshi MIKI; Kazushi OSHIMO; Muneo KAWANO; Kansei KOMAKI; Tadashi UYAMA; Yasumasa MONDEN; Yosuke YAMAMOTO; Hiroshi MIKI

doi:10.3919/ringe1963.54.1771

Hiroyuki INOUE, Hitoshi MIKI, Kazushi OSHIMO, Muneo KAWANO, Kansei KOMAKI, Tadashi UYAMA, Yasumasa MONDEN, Yosuke YAMAMOTO, Hiroshi MIKI

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Hiroyuki INOUE
Second Department of Surgery, School of Medicine, University of Tokushima
Hitoshi MIKI
Second Department of Surgery, School of Medicine, University of Tokushima
Kazushi OSHIMO
Second Department of Surgery, School of Medicine, University of Tokushima
Muneo KAWANO
Second Department of Surgery, School of Medicine, University of Tokushima
Kansei KOMAKI
Second Department of Surgery, School of Medicine, University of Tokushima
Tadashi UYAMA
Second Department of Surgery, School of Medicine, University of Tokushima
Yasumasa MONDEN
Second Department of Surgery, School of Medicine, University of Tokushima
Yosuke YAMAMOTO
Second Department of Pathology, School of Medicine, University of Tokushima
Hiroshi MIKI
Higashi Tokushima National Sanatorium

JOURNAL FREE ACCESS

1993 Volume 54 Issue 7 Pages 1771-1774

DOI https://doi.org/10.3919/ringe1963.54.1771

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Abstract

A 53-year-old woman under hemodialysis for 10 years due to chronic renal insufficiency underwent total parathyroidectomy and parathyroid autotransplant, because she had developed osteodystrophic symptoms. Histological examination revealed the presence of adenoma in one gland and normal parathyroid tissue in the other glands. This case seemed to be characteristic of tertiary hyperparathyroidism.
The S phase fraction (SPE) of this adenoma, measured by flow cytometry, was 56%. This was higher than the mean SPF (14.6%) of 15 glands taken from six patients with secondary hyperparathyroidism. Histologically, those 15 glands showed hyperplasia.

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