副甲状腺瘤与罕见的严重病理性骨解性病变:一个病例报告和文献综述
Jia Chen1, Gusheng Tang1, Ye Peng2
1Department of Hematology, Naval Military Medical University, First Affiliated Hospital, Shanghai, China.
Frontiers in oncology
|August 21, 2023
概括
一个罕见的甲状腺腺瘤病例呈现为骨解性骨损伤. 副甲状腺瘤的手术切除导致血清和副甲状腺激素 (PTH) 水平显著下降,从而实现治愈.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 骨辐射学 骨辐射学
背景情况:
- 副甲状腺瘤会导致高甲状腺功能症,血清和副甲状腺激素 (PTH) 的升高.
- 骨解性骨损伤通常与恶性瘤有关,因此这种表现很少见.
研究的目的:
- 报告一种独特的副甲状腺腺瘤病例,呈现为广泛的骨解性骨病变.
- 突出诊断挑战和成功管理这种罕见的疾病.
主要方法:
- 放射性评估包括骨盆和脊椎成像.
- 骨髓涂抹形态分析. 骨髓涂抹形态分析.
- 血清和PTH水平的生物化学评估.
- 部的多普勒彩色超声波. 部的多普勒彩色超声波.
主要成果:
- 在骨盆和脊椎中发现了多种骨解性骨病变.
- 骨髓检查显示了异常细胞.
- 检测出显著增加的血清和PTH水平.
- 超声波检测发现左侧甲状腺质量,疑似甲状腺腺瘤,以及右侧甲状腺/胸腺结节.
结论:
- 甲状腺腺瘤可以表现为罕见的骨解性骨病变,模仿转移性疾病.
- 手术侧甲状腺切除术导致和PTH水平正常化,证实了治愈.
- 早期诊断和手术干预对于治疗症状性甲状腺腺瘤至关重要.
相关概念视频
The Parathyroid Glands
2.2K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.2K
Hormones and Bone Tissue
2.7K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
2.7K
Bone Disorders
3.7K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.7K
Osteoclasts in Bone Remodeling
3.0K
Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
3.0K
Bone Remodeling
38.4K
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
38.4K
What is the Skeletal System?
52.9K
Overview
52.9K


