증례

부갑상선 선종 1예

김춘동1,*, 김지연1, 신혜정1, 신유리1
Chun Dong Kim1,*, Jee Yun Kim1, Hye Jung Shin1, You Ree Shin1
Author Information & Copyright
1이화여자대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Ewha Womans University, Seoul, Korea
*교신저자: 김춘동, 158-710 서울 양천구 목동 911-1 이화여자대학교 의과대학 이비인후과학교실 전화: (02) 650-5016·전송: (02) 2648-5604 E-mail: cdkim007@chollian.net

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 10, 2000; Accepted: Oct 20, 2000

Published Online: May 31, 2020

ABSTRACT

Primary hyperparathyroidism was once thought to be a rare disorder, but it is now documented to be the most common cause of hypercalcemia in non-hospitalized patients. It occurs in about one in every 500 women over 40 years of age one in every 2000 men. The success of parathyroid surgery is based on accurate localization of normal and abnormal parathyroid glands, knowledge of the pathologic conditions, and meticulous dissection during removal of the abnormal glands. although parathyroid localization is essential in cases requiring reexploration, there is considerable controversy regarding the indications for localization studies prior to primary exploration, since the success rate for surgery exceeds 90% to 95%. We experienced a case of parathyroid adenoma which was diagnosed with biopsy and radiographic examination. In this paper, we report this case with review of literature. (J Clinical Otolaryngol 2000;11:323-325)

Keywords: 부갑상선 선종; 일차적 부갑상선 항진증
Keywords: Parathyroid adenoma; Primary hyperparathyroidism


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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