一种罕见的高功能性脂腺瘤病例,呈现为囊性甲状腺副腺损伤
Jinyoung Kim1, Ohjoon Kwon2, Tae-Jung Kim3
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Journal of bone metabolism
|July 14, 2023
概括
一种罕见的副甲状腺脂腺瘤在一个病人身上引起了高血症. 手术切除使水平正常化,突出了对这种情况的认识的需要.
科学领域:
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 超血症的特征是血清的升高,可以源于各种原因,包括副甲状腺疾病.
- 副甲状腺脂腺瘤是罕见的,良性瘤经常呈现非特异性症状,使诊断复杂化.
研究的目的:
- 报告一种由甲状腺内甲状腺腺瘤引起的高热血病病例.
- 讨论这种罕见的内分泌瘤的诊断挑战和管理.
主要方法:
- 一位患有疲劳和消化不良的58岁妇女接受了高血症的生物化学评估.
- 进行了成像研究,包括部超声波和4D副甲状腺CT.
- 病变的外科切除,其次是组织病理学确认.
主要成果:
- 观察到血清 (14.0 mg/dL) 和副甲状腺激素 (PTH) (247.0 pg/mL) 的升高.
- 部超声波和4DCT显示了4.5厘米的甲状腺内囊性病变;光学图是模两可的.
- 甲状腺切除术后,血清和PTH正常化,病理学证实了副甲状腺脂腺瘤.
结论:
- 甲状腺腺瘤可以呈现为囊性病变,导致显著的高血症.
- 尽管有先进的成像技术,但诊断可能具有挑战性,需要进行外科探索和组织病理学.
- 副甲状腺切除术与手术期间的PTH监测对于最终的诊断和治疗至关重要.
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