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HYPERPARATHYROIDISM
Edited by Gonzalo Díaz-Soto
and Manuel Puig-Domingo
Hyperparathyroidism
Edited by Gonzalo Díaz-Soto and Manuel Puig-Domingo
Published by InTech
Janeza Trdine 9, 51000 Rijeka, Croatia
Copyright © 2012 InTech
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Notice
Statements and opinions expressed in the chapters are these of the individual contributors
and not necessarily those of the editors or publisher. No responsibility is accepted for the
accuracy of information contained in the published chapters. The publisher assumes no
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Publishing Process Manager Romana Vukelic
Technical Editor Teodora Smiljanic
Cover Designer InTech Design Team
First published April, 2012
Printed in Croatia
A free online edition of this book is available at www.intechopen.com
Additional hard copies can be obtained from orders@intechopen.com
Hyperparathyroidism, Edited by Gonzalo Díaz-Soto and Manuel Puig-Domingo
p. cm.
ISBN 978-953-51-0478-0
Contents
Preface IX
Part 1 New Trends in Medical
Monitoring of Hyperparathyroidism 1
Chapter 1 Normocalcemic Primary Hyperparathyroidism 3
Maria-Teresa Julián, Izaskun Olaizola, Gonzalo Díaz-Soto
and Manuel Puig-Domingo
Part 2 New Trends in Surgical Treatment on
Hyperparathyroidism 11
Chapter 2 Parathyroid Adenoma
Completely Impacted Within the Thyroid:
A Case Report and Literature Review 13
Yuko Tanaka, Hisato Hara and Yuzuru Kondo
Chapter 3 Minimally Invasive Parathyroidectomy
for Primary Hyperparathyroidism –
Current Views, Issues and Controversies 21
Ian Yu-Hong Wong and Brian Hung-Hin Lang
Chapter 4 Radio-Guided Surgery and
Intraoperative iPTH Determination in the
Treatment of Primary Hyperparathyroidism 35
Paloma García-Talavera and José Ramón García-Talavera
Part 3 Hyperparathyroidism and Dyalisis 57
Chapter 5 Aluminum Overload:
An Easily-Ignored Problem in Dialysis
Patients with Hyperparathyroidism 59
Wei-Chih Kan, Chih-Chiang Chien, Yi-Hua Lu,
Jyh-Chang Hwang, Shih-Bin Su and Hsien-Yi Wang
VI Contents
Chapter 6 Hyperparathyroidism in Hemodialyzed
Patients – Relation to Melatonin and Reproductive
Hormones Before and After Parathyroidectomy 67
Radmila Kancheva, Ivana Zofkova, Martin Hill,
Sylvie Dusilova-Sulkova,
Ludmila Kancheva, Sven Röjdmark,
Antonin Parizek, Michaela Duskova, Zoltan Paluch,
Veronika Cirmanova and Luboslav Starka
Preface
Hyperparathyroidism is currently one of the most exciting fields in endocrinology. It
is under constant development due to extent of the clinical spectrum of primary
hyperparathyroidism. In addition, its relationship with other disorders as
secondary/tertiary hyperparathyroidism (mainly in the context of chronic renal failure
or haemodialysis) and its complications calls for a particularly complex approach and
requires evaluation by many specialists.
In the last decade the progress and development of biochemical assays and new imaging
techniques has allowed the diagnosis of unsuspected and asymptomatic disease whose
therapeutic approach is still in debate (as normocalcemic hyperparathyroidism).
Finally, the progress on minimally invasive parathyroidectomy, intraoperative PTH and
radio-guided surgery is changing the paradigm in treatment of hyperparathyroidism.
All these hot spots in endocrinology are addressed in the book that now we present.
This book is the result of the collaboration between worldwide authorities of different
specialities and we are grateful to them for the quality of the contributions. The book
aims to provide a general but deep view of primary/secondary and tertiary
hyperparathyroidism, from a physiological basis to hyperparathyroidism in
hemodialyzed patients, as well as new treatment approaches, techniques and surgical
scenarios.
We hope that the medical and paramedical researchers will find this book helpful and
stimulating. We look forward to sharing knowledge of hyperparathyroidism with a
wider audience.
Professor Dr Manuel Puig-Domingo
University Autonoma of Barcelona Medical School, Germans Trias i Pujol, Badalona
Spain
Dr Gonzalo Díaz-Soto
University of Valladolid Medical School, Clinic Hospital, Valladolid
Spain
. HYPERPARATHYROIDISM
Edited by Gonzalo Díaz-Soto
and Manuel Puig-Domingo
Hyperparathyroidism
Edited by Gonzalo Díaz-Soto and. can be obtained from orders@intechopen.com
Hyperparathyroidism, Edited by Gonzalo Díaz-Soto and Manuel Puig-Domingo
p. cm.
ISBN 978-953-51-0478-0
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