一个巨大的甲状腺腺瘤呈现为恶心,吐和头痛在一个青少年男性
Jessica Muse1, Rebecca Palmer1, Jeanna Auriemma1
1Wake Forest Baptist Medical Center, Department of Pediatrics, 1 Medical Center Blvd, Winston-Salem, NC 27157, USA.
Case reports in pediatrics
|July 10, 2023
概括
儿童的原发性副甲状腺症很少见,通常是由于副甲状腺腺瘤. 这个案例突出显示了青少年巨型甲状腺腺瘤,呈现出严重的症状和独特的额叶化,强调了临床意识的必要性.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经外科 神经外科
- 在瘤学瘤学.
背景情况:
- 初级副甲状腺症在儿童中不常见,通常是由小副甲状腺腺瘤引起的.
- 甲状腺腺瘤可以通过成像检测,如超声波或99mTc-sestamibi扫描.
- 手术切除是对甲状腺腺瘤的最终治疗方法.
研究的目的:
- 报告一个罕见的青少年巨型副甲状腺腺瘤病例.
- 为了突出巨型副甲状腺腺瘤和严重的高血危机之间的关联.
- 在患有副甲状腺腺瘤的患者中记录了前额叶化的第一个实例.
主要方法:
- 一个16岁的男性患有高血和神经症状的病例报告.
- 诊断评估包括计算机断层扫描 (CT) 扫描显示大脑化.
- 副甲状腺质量的手术切除和随后的组织病理学分析.
主要成果:
- 患者出现了严重的高血症,恶心,吐,头痛和额叶化.
- 组织病理学证实了一个巨大的副甲状腺腺瘤.
- 可触摸的质量已经成功切除.
结论:
- 巨型副甲状腺瘤在儿科患者中异常罕见,可能导致严重的高血症.
- 在这种情况下,额叶化是一种新发现.
- 提高对这种罕见实体的临床意识对于及时诊断和管理至关重要.
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