Recurrent Primary Hyperparathyroidism in Multiple Endocrine Neoplasia Type 1 Syndrome

被引:3
作者
Libansky, Petr [1 ,2 ,11 ,12 ]
Carkova, Jitka [3 ]
Kushnir, Ivan [1 ,2 ]
Behanova, Magdalena Matejkova [4 ,5 ]
Procyklova, Kristyna [3 ]
Sedy, Jiri [6 ,7 ,8 ]
Vaculova, Marketa [1 ,2 ]
Vcelak, Josef [3 ]
Zikan, Vit [6 ,9 ,10 ]
Adamek, Svatopluk [1 ,2 ]
机构
[1] Charles Univ Prague, Fac Med 1, Dept Surg 3, Prague, Czech Republic
[2] Motol Univ Hosp, Prague, Czech Republic
[3] Inst Endocrinol, Dept Mol Endocrinol, Prague, Czech Republic
[4] Charles Univ Prague, Fac Med 2, Dept Nucl Med & Endocrinol, Prague, Czech Republic
[5] Motol Univ Hosp Prague, Prague, Czech Republic
[6] 3DK Clin, Prague, Czech Republic
[7] Palacky Univ, Inst Dent & Oral Sci, Fac Med, Olomouc, Czech Republic
[8] Charles Univ Prague, Inst Anat, Fac Med 2, Prague, Czech Republic
[9] Charles Univ Prague, Fac Med 1, Dept Endocrinol & Metab, Dept Med 3, Prague, Czech Republic
[10] Gen Univ Hosp Prague, Prague, Czech Republic
[11] Charles Univ Prague, Fac Med 1, Dept Surg 3, V Uvalu 84, Prague 5, Czech Republic
[12] Motol Univ Hosp Prague, 5 Uvalu 84, Prague 5, Czech Republic
关键词
Primary hyperparathyroidism; Parathyroid adenoma Parathyroidectomy; MEN1; syndrom; PARATHYROIDECTOMY; REOPERATION; PERSISTENT; COHORT;
D O I
10.33549/physiolres.935223
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Primary hyperparathyroidism is a common endocrinopathy. Multiple Endocrine Neoplasia Type 1 (MEN1) is a rare autosomal dominantly inherited endocrine tumor predisposition syndrome, with one of main manifestations being primary hyperpara-thyroidism. We retrospectively evaluated a set of 1011 patients who underwent surgery for primary hyperparathyroidism between the years 2018-2022, and found 78 (8 %) patients who underwent reoperations and 27 patients with MEN1 syndrome. In the group of patients with MEN1 syndrome, 7 (35 %) needed reoperations. Patients with multiple endocrine neoplasia syndrome have a higher risk of needing reoperation. Genetic testing can help identify MEN1 syndrome preoperatively and to better evaluate the approach to surgery.
引用
收藏
页码:S423 / S427
页数:5
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