一种模仿甲状腺腺瘤的原发性甲状腺功能增强症患者的甲状腺腺癌
Nidhi Anand1, Ruchita Sachan2, Mallika Dhanda3
1Pathology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India nidhi.anand42@gmail.com.
BMJ case reports
|September 20, 2023
概括
副甲状腺癌是一种罕见的原发性甲状腺功能障碍的原因,很难在手术前诊断. 这一案例凸显了组织病理学在手术切除后确认诊断的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 初级甲状腺功能障碍症最常是由腺瘤引起的,甲状腺癌非常罕见.
- 在手术前区分甲状腺癌和腺瘤具有重大临床挑战.
- 准确的诊断依赖于切除的副甲状腺组织的组织病理学检查.
研究的目的:
- 报告一种附甲状腺癌病例,表现为原发性副甲状腺功能障碍和慢性脏疾病的症状.
- 强调诊断的困难和组织病理学确认的重要性.
- 突出外科手术管理和患者结局的影响.
主要方法:
- 一个中年妇女的病例报告,症状包括身体疼痛,关节疼痛和疲劳.
- 诊断工作包括对甲状腺的超声波和生物化学测试 (血清,甲状腺激素,尿素,肌).
- 对受影响的副甲状腺进行手术切除,然后进行组织病理学分析.
主要成果:
- 超声波检测发现左侧甲状腺有一个巨大的超声波病变.
- 观察到血清中,副甲状腺激素,尿素和肌素水平升高.
- 对切除的下侧甲状腺组织病理学评估证实了副甲状腺癌.
结论:
- 副甲状腺癌是一种罕见但关键的诊断,主要的甲状腺功能障碍症,往往需要他的病理学来确定确定.
- 临床表现可以模仿良性副甲状腺腺瘤,使最初的手术决定复杂化.
- 由于错误诊断导致的不完全切除可能会对患者的预后产生负面影响.
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