Yamaguchi K, Kishikawa H, Shichiri M
First Department of Internal Medicine, Oita Prefectural Hospital.
Nihon Rinsho. 1995 Apr;53(4):895-8.
Recently, not only the multiple endocrine adenomatosis (MEN)-associated type but also the type which can be isolated from MEN syndrome have been widely accepted in the classification of familial hyperparathyroidism. Analysis of gene markers specific to MEN syndrome contributed markedly to the establishment of isolated familial hyperparathyroidism. We attempted an analysis of 15 pedigrees in the report of familial hyperparathyroidism in which MEN syndrome was actively ruled out. In 7 pedigrees, adenoma alone was seen while in 2 pedigrees was hyperplasia alone seen. In 6 pedigrees parathyroid carcinoma was also admitted (other members of the pedigree were affected with parathyroid adenoma or hyperplasia). There were 5 pedigrees in which cementifying fibroma or ossifying fibroma of the jaw was associated with familial hyperparathyroidism. The association of parathyroid carcinomas or benign jaw tumors should be paid attention.
最近,不仅多发性内分泌腺瘤病(MEN)相关类型,而且可与MEN综合征分离的类型在家族性甲状旁腺功能亢进的分类中已被广泛接受。对MEN综合征特异性基因标记的分析对孤立性家族性甲状旁腺功能亢进的确立有显著贡献。我们试图对一份家族性甲状旁腺功能亢进报告中的15个家系进行分析,其中MEN综合征被积极排除。在7个家系中仅见腺瘤,而在2个家系中仅见增生。在6个家系中也存在甲状旁腺癌(家系中的其他成员患有甲状旁腺腺瘤或增生)。有5个家系中颌骨的牙骨质化纤维瘤或骨化纤维瘤与家族性甲状旁腺功能亢进相关。甲状旁腺癌或颌骨良性肿瘤的关联应予以关注。