尽管由于瘤诱导的骨质疏松症引起的严重低度血症,但怀孕满期
Thien Binh Nu Truong1, Anh Trong Nguyen2, Luong Dai Ly3
1Department of Pediatrics, School of Medicine, Vietnam National University Ho Chi Minh city, YA1 Administrative Building, Hai Thuong Lan Ong Street, Dong Hoa Ward, Di An City, Binh Duong Province 75308, Vietnam.
Oxford medical case reports
|October 28, 2024
概括
一种罕见的冠状母细胞瘤在一名孕妇身上引起了严重的骨疼痛和低血. 手术切除使FGF23水平正常化,缓解了症状,并确保了健康的孩子.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
背景情况:
- 一名妇女在怀孕期间出现了无法解释的严重疼痛和多重骨折.
- 产后评估显示严重的低血,正常的维生素D,低TmP/GFR,高FGF23.
- 这些发现表明瘤诱导的骨质疏松症 (TIO) 或瘤诱导的低度血症.
研究的目的:
- 为了诊断患者低血和骨疼痛的原因.
- 调查FGF23在患者病情中的作用.
- 评估对怀孕和新生儿的影响.
主要方法:
- 生物化学分析包括血清酸盐,25-氧维生素D,TmP/GFR和FGF23.
- 使用-68Dotatate的正子发射断层扫描-计算机断层扫描 (PET/CT) 扫描.
- 手术切除瘤和组织病理学检查.
主要成果:
- 在右骨中通过PET/CT识别了一种冠状母细胞瘤.
- 瘤切除后血清FGF23水平正常化.
- 患者的疼痛消失了,她的孩子表现出正常的发育,没有恶心病.
结论:
- 冠状母细胞瘤可以表现为瘤诱导的低酸血症的罕见原因.
- 升高的FGF23是诊断这种疾病的关键生物标志物.
- 手术是治愈性的,对母亲和孩子都有有利的结果.
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