Kim Kwang-Min, Park Joon-Beom, Bae Keum-Seok, Kang Seong-Joon
Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
J Korean Surg Soc. 2011 Nov;81(5):344-9. doi: 10.4174/jkss.2011.81.5.344. Epub 2011 Nov 1.
The prognosis of parathyroid carcinoma varies significantly between numerous studies. Therefore, many attempts have been made to grade the degree of parathyroid carcinoma, and recently, classifying parathyroid carcinomas into either minimally invasive or widely invasive carcinoma- similar to follicular carcinoma of the thyroid- has led to a more reliable prediction of the prognosis. Hungry bone syndrome can occur if parathyroidectomy is performed due to primary hyperparathyroidism regardless of the cause of the disease. Hungry bone syndrome is characterized by postoperative a hypocalcemic state due to remineralization of various minerals, including calcium, of the bone; this syndrome requires a long-term supplementation of calcium. The authors aim to report, along with a review of related literatures, 1 case of a 29-year-old female patient diagnosed with minimally invasive parathyroid carcinoma who fell into hungry bone syndrome after parathyroidectomy.
众多研究中，甲状旁腺癌的预后差异显著。因此，人们进行了许多尝试来对甲状旁腺癌的程度进行分级，最近，将甲状旁腺癌分为微侵袭性或广泛侵袭性癌（类似于甲状腺滤泡癌），能对预后做出更可靠的预测。无论原发性甲状旁腺功能亢进的病因如何，因原发性甲状旁腺功能亢进进行甲状旁腺切除术后都可能发生饥饿骨综合征。饥饿骨综合征的特征是由于骨骼中包括钙在内的各种矿物质再矿化导致术后出现低钙血症状态；这种综合征需要长期补充钙。作者旨在报告1例29岁女性患者，该患者被诊断为微侵袭性甲状旁腺癌，甲状旁腺切除术后陷入饥饿骨综合征，并对相关文献进行综述。
