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Recurrent hyperparathyroidism due to parathyroid autografts: incidence, presentation, and management
Recurrent hyperparathyroidism (HPT) occurs in a small percentage of patients undergoing parathyroidectomy for primary HPT and is usually due to inadequate excision of hyperfunctioning parathyroid tissue in the neck, a missed ectopic and hyperplastic parathyroid, or, less commonly, parathyroid carcinoma and parathyroid autografts. In order to determine the incidence, clinical characteristics, and outcome of patients with recurrent HPT due to parathyroid autografts, we reviewed our experience with 604 consecutive patients operated on for primary HPT between 1965 and 1989. One hundred of these patients received parathyroid autografts consisting of portions of one or more parathyroid glands. Three patients with autografts, placed in the sternocleidomastoid muscle, developed recurrent HPT due to their autografts for an incidence of 3 per cent. Recurrent disease was diagnosed between 62 and 113 months with an average of 89 months. The autotransplants in all three of these patients were from hyperplastic or adenomatous parathyroid tissue. Two patients had a history of neck irradiation. Preoperative thallium scans accurately localized the hyperfunctioning parathyroid tissue in all three patients. At operation, the hyperfunctioning autografts had grown into a discrete mass with a single vascular pedicle and were resected. Histologic examination disclosed either hyperplastic or adenomatous tissue, and corresponded to the histology and location of the original tissue transplanted in each case. Follow-up ranges from 12 to 67 months, with an average of 48 months. All patients remain cured and none require oral calcium supplementation. We conclude that graft-dependent recurrent HPT is due to the autotransplantation of hyperplastic or adenomatous parathyroid tissue and that thallium scanning is instrumental for diagnosis and localization.(ABSTRACT TRUNCATED AT 250 WORDS) 相似文献
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Tomasch (1954) and Aboitiz et al. (1992) found the majority of the fibers of the human corpus callosum are under 1 micron in diameter. Electron microscopic studies of Swadlow et al. (1980) and the detailed study of LaMantia and Rakic (1990a) on macaques show the average size of the myelinated callosal axons also to be less than 1 micron. In man, the average-sized myelinated fiber interconnecting the temporal lobes would have a one-way, interhemispheric delay of over 25 msec. Thus, finely detailed, time-critical neuronal computations (i.e., tasks that strain the capacity of the callosum and hence could not be handled by just the larger fibers) would be performed more quickly via shorter and faster intrahemispheric circuits. While one transit across the commissural system might yield tolerable delays, multiple passes as in a system involving "setting" would seem prohibitively slow. We suggest that these temporal limits will be avoided if the neural apparatus necessary to perform each high-resolution, time-critical task is gathered in one hemisphere. If the, presumably overlapping, neural assemblies needed to handle overlapping tasks are clustered together, this would lead to hemispheric specialization. The prediction follows that the large brains of mammals such as elephants and cetaceans will also manifest a high degree of hemispheric specialization. 相似文献
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Abstract An analytic theory of the adiabatic passage (AP) regime of interaction of short frequency chirped laser pulses with a two-level quantum system (QS) being initially in the superpositional quantum state is presented. We show that the initial value of the non-diagonal elements of the density matrix can influence the dynamics of the population transfer during the action of the laser pulse, but do not influence essentially the final populations of the states of the QS obtained at the end of the interaction near the AP regime. A novel solution to the Bloch equations is obtained in the form of a converging power series generalizing the ordinary AP solution. 相似文献
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Dr. Erika Lisztes Dr. Erika Mező Fruzsina Demeter Lilla Horváth Dr. Szilvia Bősze Dr. Balázs István Tóth Prof. Anikó Borbás Dr. Mihály Herczeg 《ChemMedChem》2021,16(9):1467-1476
The design and synthesis of heparin mimetics with high anticancer activity but no anticoagulant activity is an important task in medicinal chemistry. Herein, we present the efficient synthesis of five Glc-GlcA-Glc-sequenced and one Glc-IdoA-Glc-sequenced non-glycosaminoglycan, heparin-related trisaccharides with various sulfation/sulfonylation and methylation patterns. The cell growth inhibitory effects of the compounds were tested against four cancerous human cell lines and two non-cancerous cell lines. Two d -glucuronate-containing tetra-O-sulfated, partially methylated trisaccharides displayed remarkable and selective inhibitory effects on the growth of ovary carcinoma (A2780) and melanoma (WM35) cells. Methyl substituents on the glucuronide unit proved to be detrimental, whereas acetyl substituents were beneficial to the cytostatic activity of the sulfated derivatives. 相似文献
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Goyanes Manuel Demeter Márton Grané Aurea Albarrán-Lozano Irene Gil de Zúñiga Homero 《Scientometrics》2020,125(3):2299-2322
Scientometrics - With today’s research production and global dissemination, there is growing pressure to assess how academic fields foster diversity. Based on a mathematical problem/solve... 相似文献
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Schwaibold Schormüller Beckel W. Sutthoff Lars Erlandsen v. Skramlik W. Schreiber Kanitz Bierotte M. Steiner W. Wodsak G. Steinhoff H. J. Steinbeck Frey-Wyssling M. Gordienko K. Dirr Pawletta Stelzer W. Wodsak W. Bartels Hoepke G. Stamm Brüning W. Hämmerle Schnetka K. Felix H. Schülke Kluge Krzywanek W. Brandt Gertraude Körner-Hennig K. J. Demeter Damm J. Ph. Bruno Roßmann W. Karlowa H. Ketterl L. W. Jirak W. Preiß Diemair W. Ludorff Jahr Griebel J. J. van Eck W. Preiß C. Pyriki K. Müller Jesser K. Boresch Fr. Bartschat 《European Food Research and Technology》1939,77(3):290-336
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J. Schwaibold W. Kundrat H. Patzsch und K. J. Demeter 《Zeitschrift für Lebensmitteluntersuchung und -Forschung A》1955,100(1):77-79
Ohne Zusammenfassung 相似文献
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