由于副甲状腺腺瘤的原发性副甲状腺症在儿童和青少年
Nitzan Dror1, Meidad Greenberg2, Liat Perl1
1Pediatric Endocrinology Unit, Meir Medical Center, Sackler School of Medicine, Tel-Aviv University, Kfar-Saba, Israel.
概括
儿科患者的原发性副甲状腺症 (PHPT) 很少见,但通常是有症状的,通常是由单个副甲状腺腺瘤引起的. 手术切除导致治愈,没有显著的并发症或复发.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 手术内分泌学手术内分泌学
背景情况:
- 与成年人相比,原发性副甲状腺炎 (PHPT) 在儿童和青少年中不常见.
- 儿科PHPT往往表现出比成人群体更严重的症状.
研究的目的:
- 审查儿科患者PHPT的临床特征,管理和结果.
- 在这个年龄组中确定PHPT手术干预的主要原因和长期结果.
主要方法:
- 在高等大学医学中心对PHPT病例 (2005-2022) 的回顾性审查.
- 分析包括临床表现,实验室结果,成像,治疗和术后并发症.
主要成果:
- 十名儿科患者 (平均年龄为16.3岁) 被诊断患有PHPT,80%的患者有症状.
- 观察到 (13.6 ± 2.5 mg/dL) 和副甲状腺激素 (204.8 ± 163.1 pg/mL) 的水平升高.
- 甲状腺腺瘤是确定的原因,没有相关的高热血症综合征被确定.
结论:
- 儿科PHPT经常具有症状,并与单个副甲状腺腺瘤有关.
- 手术去除腺瘤导致治愈,在随访期间 (10.4 ± 5.9年) 没有显著的并发症或复发.
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