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巨型甲状腺腺瘤:一个病例报告

Sangeet Kumar Agarwal¹, Uday Monga², Shiv Chadha³

¹Head and Neck Oncosurgery, Sir Ganga Ram Hospital Sir Ganga Ram Hospital Marg, New Delhi, 110060 India.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

|November 17, 2023

概括

巨型副甲状腺腺瘤是原发性副甲状腺症的罕见原因,可能导致严重的并发症. 这一案例突出了成功手术切除一个年轻女子的大腺瘤,使副甲状腺激素水平正常化.

科学领域:

内分泌学在内分泌学.
手术瘤学手术瘤学
腎臟病學 (nephrology) 是一種醫學專業.

背景情况:

巨型副甲状腺瘤 (GPA) 被定义为体重超过3.5克的副甲状腺瘤,比典型的腺瘤大得多.
GPAs主要是导致原发性副甲状腺功能障碍症,并且可以出现严重的并发症,如急性胰腺炎和损伤.
年轻人可能会受到影响,需要及时诊断和管理.

研究的目的:

报道一个有趣的病例和诊断为巨型甲状腺腺瘤的年轻女子的临床过程.
为了说明一个罕见的GPA病例的诊断过程和成功管理.
强调在患有高血症和相关并发症的年轻患者中考虑GPA的重要性.

主要方法:

一名30岁的女性出现了急性胰腺炎和急性损伤的症状.
诊断工作包括生物化学测试显示高血症和甲状腺功能障碍症,部超声波和99mTc-Sestamibi副甲状腺扫描.
该患者成功接受了对左侧甲状腺腺瘤切除的微创性副甲状腺切除术.

主要成果:

手术前副甲状腺激素 (PTH) 水平在1900 pg/ml时显著升高.
图像检查证实左侧甲状腺腺瘤的大小为50x24x29毫米.
在手术后,PTH水平显著降低至242 pg/ml,表明腺瘤被成功切除.

结论:

巨型副甲状腺瘤是一种罕见但重要的原发性副甲状腺症的原因,即使在年轻患者中也是如此.
最少侵入性甲状腺切除术是GPA的有效治疗方法,导致生物化学正常化.
及时诊断和手术干预对于管理GPA和预防严重并发症至关重要.

关键词:

案例报告案例报告过高血症的情况.副甲状腺腺瘤副甲状腺腺瘤主要的副甲状腺功能障碍症.

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