Surgery for Hyperparathyroidism
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Surgery for Hyperparathyroidism

筆頭著者 YOSHIHIRO TOMINAGA (編) 東京医学社 電子版ISBN 電子版発売日 2018年7月16日 ページ数 116 判型 A4変 印刷版ISBN 978-4-88563-277-8 印刷版発行年月 2017年3月



Foreword 1 by Hiroshi Takagi
Foreword 2 by Henry Johansson
Intoroduction―Surgery for hyperparathyroidism focusing on SHPT by Yoshihiro Tominaga
Author's profile

Chapter 1. History of parathyroid gland
Chapter 2 Embryology and anatomy of parathyroid gland
     2.1. Embryology
     2.2. Anatomy
Chapter 3. Pathology of parathyroid gland
     3.1. Normal structure of parathyroid gland
     3.2. Hyperplasia in primary hyperparathyroidism (PHPT)
     3.3. Hyperplasia in secondary hyperparathyroidism (SHPT)
     3.4. Parathyroid adenoma
     3.5. Parathyroid carcinoma
Chapter 4. Definition of hyperparathyroidism
Chapter 5. Pathophysiology
     5.1. Calcium homeostasis
     5.2. Phosphate homeostasis
     5.3. Pathophysiology of SHPT
Chapter 6. Parathyroid cell proliferation and tumorigenesis in SHPT
Chapter 7. Epidemiology and background of SHPT
     7.1. Epidemiology
     7.2. Frequency of PTx for SHPT
Chapter 8. Clinical manifestations of SHPT
     8.1. Symptoms
     8.2. Manifestations of renal osteodystrophy (ROD)
     8.3. Ectopic calcification
     8.4. Laboratory findings
Chapter 9. Preoperative image diagnosis
Chapter 10. Treatment for SHPT
     10.1. Medical treatment
     10.2. Intervention therapy
     10.3. Surgical indications
     10.4. Surgical management
     10.5. Preoperative management
     10.6. Our surgical procedure
     10.7. An algorithm to identify parathyroid glands
     10.8. Surgical topics
  10.8.1. Intraoperative monitoring of PTH levels (IOPTH monitoring)
  10.8.2. Intraoperative neural monitoring (IONM)
Chapter 11. Postoperative management
Chapter 12. Outcomes of PTx for SHPT
     12.1. Number of parathyroid glands and total glandular weight
     12.2. Clinical improvement after PTx
     12.3. Function of parathyroid autografts
     12.4. Thyroid lesions in SHPT
Chapter 13. Persistent and recurrent SHPT
     13.1. Definition
     13.2. Graft-dependent recurrent SHPT
     13.3. Persistent SHPT and detection of missed parathyroid glands
     13.4. Ectopic and supernumerary parathyroid glands
      13.4.1. Thymic tongue
      13.4.2. Mediastinal parathyroid glands
      13.4.3. Undescended parathyroid glands
      13.4.4. Intrathyroidal parathyroid glands
      13.4.5. Parathyroid glands around Berry’s ligament
     13.5. Parathyromatosis
     13.6. Parathyroid carcinoma in SHPT
     13.7. Spontaneous remission of hyperparathyroidism
Chapter 14. Tertiary hyperparathyroidism (THPT)
     14.1. Pathophysiology of THPT
     14.2. Surgical indications and timing of PTx
     14.3. PTx for THPT
     14.4. Benefits of PTx for THPT
Chapter 15. Primary hyperparathyroidism (PHPT)
     15.1. Prevalence and classification
     15.2. Clinical diagnosis
     15.3. Surgical indication
     15.4. PTx for PHPT
     15.5. Our operative procedure for PHPT
     15.6. Selection of operative procedure
      15.6.1. Parathyroid carcinoma
      15.6.2. Double adenomas
      15.6.3. Non-familial parathyroid hyperplasia
      15.6.4. MEN types 1 and 2A
     15.7. Clinical advantages of PTx
     15.8. Medical treatment for PHPT
Chapter 16. Surgical treatment of hyperparathyroidism in the future

Our published papers concerning with parathyroid gland