[Medical parathyroidectomy. Its efficacy in treatment of lower maxillary brown tumor].
A patient with end-stage renal disease, hemodialysis treatment, severe secondary hyperparathyroidism and mandibular brown tumor received increasing doses of oral calcitriol (3.5 to 9 micrograms/week) and calcium carbonate (10 g/day). Nineteen months after the treatment, clinical, radiological and humoral improvement were observed. The present case demonstrates the effectiveness of medical parathyroidectomy for the control of severe secondary hyperparathyroidism--brown tumor--in chronic hemodialysed patients. This procedure should be considered as choice treatment keeping surgical parathyroidectomy for cases in which it is contraindicated such as hyperphosphoremia and/or controlled hypercalcemia or failure of the former procedure.
Graciela Garcia
M
M
Instituto de Nefrologia, Buenos Aires.
Leanza
H
H
Najun Zarazga
C
C
Barreneche
M
M
D000284:Administration, Oral; D000328:Adult; D002117:Calcitriol / Q000008:administration & dosage* / Q000627:therapeutic use; D002119:Calcium Carbonate / Q000008:administration & dosage* / Q000627:therapeutic use; D006101:Granuloma, Giant Cell / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000188:drug therapy* / Q000209:etiology; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008336:Mandibular Diseases / Q000188:drug therapy* / Q000209:etiology; D010281:Parathyroid Hormone / Q000097:blood; D016105:Parathyroidectomy; D006435:Renal Dialysis
D010281:Parathyroid Hormone; D002117:Calcitriol; D002119:Calcium Carbonate
Paratiroidectomía médica. Su eficacia en el tratamiento de un tumor pardo en el maxilar inferior.