甲状腺癌の術後インタクトPTH値の検討 Intact-PTH Level after Surgery for Thyroid Cancer

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We determined the level of serum intact parathyroid hormone (intact-PTH) in 122 thyroid cancer patients after 6 postoperative months. Hemithyroidectomy was performed in 92 patients, subtotal thyroidectomy in 20 patients, and total thyroidectomy in 10 patients. The normal level of intact-PTH in patients who underwent hemithyroidectomy or subtotal thyroidectomy was kept without parathyroid autotransplantation. The level of intact PTH in 89 patients who underwent extirpation of regional lymph nodes was significantly higher than that in 22 with ipsilateral neck dissection or 11 with bilateral neck dissection. There were no clinical factors, such as gender, age, clinical stage, tumor size or pathological classification, showing correlation with the level of postoperative intact-PTH. In the entire series, postoperative permanent hypocalcemia occurred in 9 (7%) patients. Of these 9 patients, 8 had undergone total thyroidectomy and only 1 subtotal thyroidectomy. The strategy for preservation of parathyroid function during total thyroidectomy was determined as follows: 1) preservation of bilateral superior parathyroid gland, 2) preservation of 1 superior parathyroid gland and autotransplantation of at least the other 1 parathyroid gland, or 3) autotransplantation of 2 parathyroid glands.

収録刊行物

  • 耳鼻咽喉科臨床

    耳鼻咽喉科臨床 96(12), 1103-1108, 2003-12-01

    The Society of Practical Otolaryngology

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各種コード

  • NII論文ID(NAID)
    10012546427
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00326313
  • NDL 記事登録ID
    6779582
  • NDL 雑誌分類
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL 請求記号
    Z19-421
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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