在患者之前进行过全侧甲状腺切除术的患者中,逆侧甲状腺增生
Tariq Saleh1, Marwan Alaswad1, Abdullah Otry1
1College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Journal of surgical case reports
|June 9, 2023
概括
副甲状腺炎是手术后复发性副甲状腺功能障碍症的罕见原因,由于潜在的复发,需要保持警的随访. 手术切除仍然是这种情况的主要治疗方法.
科学领域:
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
背景情况:
- 复发性原发性甲状腺功能障碍症可能源于副甲状腺炎症,这种疾病的特征是异位副甲状腺组织,通常是在副甲状腺切除术后.
- 副甲状腺瘤的常见位置包括部,中体和副甲状腺自移植的部位.
研究的目的:
- 在患有功能衰竭和先前甲状腺切除术的患者中报告甲状腺增生病例.
- 突出了宫外副甲状腺组织的诊断和手术管理.
- 强调认识到偏甲状腺炎症作为重复性偏甲状腺功能障碍的原因的重要性.
主要方法:
- 利用手术前的线圈定位来准确识别宫外副甲状腺组织.
- 用光镜进行胸腔镜检查,以进行异常甲状腺组织的微创切除.
- 提交了切除的样本进行了他的病理学检查,以确认诊断.
主要成果:
- 组织病理学证实了多细胞性副甲状腺组织的多个结节,与副甲状腺炎相一致.
- 患者出现了普遍的骨疼痛和实验室发现表明过多甲状腺功能障碍.
- 成功切除了宫外副甲状腺组织.
结论:
- 副甲状腺炎是一种罕见但重要的复发性原发性副甲状腺炎症的原因.
- 外阴副甲状腺组织的外科切除是主要的治疗方法.
- 由于复发的可能性,长期跟踪至关重要.
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