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이차성 부갑상선 기능항진증과 동반된 갑상선 결절

Other Titles
 Thyroid Nodules in Patients with Secondary Hyperparathyroidism 
Authors
 정은주  ;  윤종호  ;  박정수  ;  장항석  ;  남기현 
Citation
 Korean journal of Endocrine Surgery (대한내분비외과학회지), Vol.4(1) : 48-50, 2004 
Journal Title
Korean journal of Endocrine Surgery(대한내분비외과학회지)
ISSN
 1598-1703 
Issue Date
2004
Keywords
Secondary hyperparathyroidism ; Thyroid Nodule ; Thyroid Carcinoma ; 이차성 부갑상선 기능항진증 ; 갑상선 결절 ; 갑상선암
Abstract
Purpose: An association between primary hyperparathyroidism and well differentiated thyroid carcinoma has been frequently reported. However, there have been few reports of secondary hyperparathyroidism associated with thyroid carcinoma. This study was performed to evaluate the prevalence of thyroid nodule including thyroid carcinoma in patients with secondary hyperparathyroidism and to suggest more proper diagnostic approach for such cases. Methods: A retrospective study was performed on fifty-two patients who underwent parathyroid surgery for secondary hyperparathyroidism between March, 1986 and December, 2003. Results: In 20 patients (38.5%), thyroid surgery was added because of coexistent thyroid nodules. Five (25%) out of the 22 patients with coexistent thyroid nodule had thyroid carcinoma. Among the 5 thyroid carcinoma patients, 4 had papillary carcinomas and one had a follicular carcinoma. Mean size of thyroid carcinomas was 1.4 cm (0.3∼3.0 cm). Conclusion: The prevalence of thyroid carcinoma in patients with secondary hyperparathyroidism was higher than that in the general population. An aggressive diagnostic approach (ultrasonography and FNAB) should be considered when the patients with secondary hyperparathyroidism present with thyroid nodules.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Cheong Soo(박정수)
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112188
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