학술논문
A Rare Intraoperative PTH Level Spike Immediately After Parathyroid Resection: A Case of an Additional Adenoma
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- 영문명
- 발행기관
- 대한내분비외과학회
- 저자명
- Haseeb E. Goheer Dylan M.N. Flood Jessica G. Wright Madaliene E. Denison Kristin L. McCoy David LeBel Kenneth M. Algino Michael S. Nussbaum
- 간행물 정보
- 『The Koreran journal of Endocrine Surgery』24권4호, 129~134쪽, 전체 6쪽
- 주제분류
- 의약학 > 면역학
- 파일형태
- 발행일자
- 2024.12.31
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국문 초록
Primary hyperparathyroidism is a frequent cause of hypercalcemia resulting from one or more parathyroid adenomas. We report the case of a 66-year-old female who underwent parathyroidectomy, during which intraoperative parathyroid hormone (ioPTH) levels spiked tenfold, from 197 pg/mL to 2,209 pg/mL, 10 minutes post-resection. Despite recalibration and re-sampling, ioPTH levels further increased to 3,000 pg/mL at 1 hour, prompting additional exploration and resection of a second adenoma. The patient’s serum calcium levels subsequently returned to normal postoperatively. This case highlights the importance of considering additional parathyroid adenomas in patients with unexpected spikes in ioPTH levels and underscores the need for thorough exploration rather than attributing such rises solely to laboratory error.
영문 초록
목차
INTRODUCTION
CASE REPORT
DISCUSSION
REFERENCES
해당간행물 수록 논문
- What Are the Most Effective Strategies for Recurrent Laryngeal Nerve Preservation in Robotic Thyroidectomy for Advanced Thyroid Cancer?: A Comprehensive Review
- A Rare Intraoperative PTH Level Spike Immediately After Parathyroid Resection: A Case of an Additional Adenoma
- Percutaneous Ethanol Sclerotherapy for Head-and-Neck Lymphatic Malformation: A Systematic Review and Case Report
- Completion Transoral Thyroidectomy Following Bilateral Axillo-Breast Approach Thyroid Lobectomy
- Adrenal Venous Sampling (AVS) Correlated With Histopathologic Findings as a Predictive Model for Surgical Outcomes Post Unilateral Adrenalectomy for PA: Beyond Laterality
- A Novel Technical Approach for Infant Thyroidectomies in Twins With MEN2B (M918T RET Codon) Highest Risk Mutations
- Severe Facial Disfigurement Corrected by Parathyroidectomy: A Case Report and Literature Review
- Unexpected Intra-Operative Discovery of Metastatic Medullary Thyroid Carcinoma: A Case Report
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