甲状腺切除术对MEN 2A家族的矿物质代谢影响及长期预后

Henry Ford Hospital medical journal Pub Date : 1992-01-01
H G Bone, L J Deftos, W H Snyder, C Y Pak
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引用次数: 0

摘要

我们跟踪了一个2A型多发性内分泌肿瘤家庭18年。四名成员因甲状腺髓样癌或c细胞增生接受了全甲状腺切除术,一名成员因嗜铬细胞瘤接受了双侧肾上腺切除术。虽然甲状腺切除术前甲状旁腺激素水平相对较高,而降钙素水平高的患者术后甲状旁腺激素水平下降,但没有人发生高钙血症性甲状旁腺功能亢进。4例中有3例甲状腺切除术后肠道钙吸收下降。
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Mineral metabolic effects of thyroidectomy and long-term outcomes in a family with MEN 2A.

We have followed a family with multiple endocrine neoplasia type 2A for 18 years. Four members have undergone total thyroidectomy for medullary thyroid carcinoma or C-cell hyperplasia, and one has required bilateral adrenalectomy for pheochromocytoma. None has developed hypercalcemic hyperparathyroidism, although parathyroid hormone levels were relatively high prethyroidectomy and fell postoperatively in the patients with high calcitonin levels. In three of the four cases, intestinal calcium absorption decreased following thyroidectomy.

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Extracellular Ca2+ sensing in C-cells and parathyroid cells. Proceedings of the Urban Health Care Symposium II. June 2-4, 1991. Characterization of the clinical features of five families with hereditary primary cutaneous lichen amyloidosis and multiple endocrine neoplasia type 2. Unusual features of multiple endocrine neoplasia. Long-term follow-up in four large MEN 2 families in The Netherlands.
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