SURGICAL TREATMENT OF UREMIC TUMORAL CALCINOSIS IN PATIENTS WITH TERTIARY HYPERPARATHYROIDISM

Objective - to work out tactics and techniques of operation in patients with tertiary hyperparathyroidism associated with uremic tumoral calcinosis. Materials. Tactics and methods of treatment of uremic tumoral calcinosis are not well-described because of the rarity of the pathology. The article presents clinical observation of the patient A. born in 1954. Diagnosis: chronic renal failure, tertiary hyperparathyroidism, parathyroid adenoma, osteo-articular form; uremic tumor calcification in the right shoulder and arm. Ca = 2,4-2,55 mmol / l, P = 1,7-1,8 mmol / l iPTH = 800 pg / ml. Result. Treatment of patient was carried out in two stages. The first step was removal of 6 parathyroid adenomas, the second - opening three calcification cysts in the right upper limb - 750 ml in total volume, containing white exudate resembling lime solution. The postoperative period was uneventful. IPTH = 60 pg / ml. Conclusion. 0.09% of patients with chronic renal failure on hemodialysis may develop uremic tumoral calcinosis, the treatment of which is aimed at excision of the parathyroid gland adenomas, opening and drainage of para-articular pathologic cysts.

tertiary hyperparathyroidism, uremic tumoral calcinosis