在最初的甲状腺切除术后,罕见的甲状腺腺瘤复发的罕见病例
Grant N Schalet1, Luke Vincent1, Carl Eguez2
1Surgery, Broward Health Medical Center, Fort Lauderdale, USA.
Cureus
|October 9, 2023
概括
在手术后可以出现复发性原发性副甲状腺功能障碍症. 这一案例突出了多种副甲状腺瘤的诊断和管理,其中包括两种在手术后发展.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
背景情况:
- 初级甲状腺功能障碍症 (PHPT) 往往呈现无症状,具有特征性的生化不平衡.
- 大多数PHPT病例 (80-85%) 是由单个副甲状腺瘤引起的,但罕见的原因包括多个腺瘤,增生或癌瘤.
研究的目的:
- 描述复发性原发性甲状腺功能障碍症 (R-PHPT) 的诊断和管理.
- 详细介绍一个涉及三种甲状腺腺瘤的病例,其中两种是在最初的手术后出现的.
主要方法:
- 诊断基于生物化学评估 (和甲状腺上腺激素的升高).
- 治疗包括对副甲状腺腺瘤进行手术.
主要成果:
- 该患者在手术后六个月出现了复发性高血症,符合R-PHPT的定义.
- 三种副甲状腺瘤被确定并管理,其中两种是在最初的部分副甲状腺切除术后发展的.
结论:
- 复发性原发性甲状腺功能增强症是PHPT手术治疗后的一种已知的并发症.
- 对于患有多种或复发性副甲状腺瘤的患者来说,仔细诊断和管理至关重要.
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