揭露大敌:主要的甲状腺功能障碍症呈现为的棕色瘤
Sakshi Batra1, Adit Srivastava2, Saumya Shukla3
1Oral Medicine and Radiology, Banaras Hindu University, Varanasi, IND.
Cureus
|June 20, 2025
概括
中的棕色瘤是原发性副甲状腺功能障碍症 (PHPT) 的罕见症状. 牙医可以通过例行牙科成像在早期诊断中发挥关键作用,识别这种内分泌疾病的口腔症状.
科学领域:
- 内分泌学 在内分泌学.
- 口腔和面放射学 口腔和面放射学
- 在瘤学瘤学.
背景情况:
- 原发性副甲状腺炎症 (PHPT) 是一种表现为过度副甲状腺激素分泌的疾病,通常是由副甲状腺腺瘤,增生或癌症引起的.
- 棕色瘤 (BT) 是罕见的,PHPT的晚期表现,通常呈现为骨损伤,特别是在下巴.
- 在牙科放射学上,硬膜膜的普遍损失是PHPT相关的常见,尽管是晚期的迹象.
研究的目的:
- 报告一例仅表现为口腔症状的原发性甲状腺功能障碍.
- 通过例行牙科成像,强调牙医在诊断内分泌病的作用.
主要方法:
- 一个42岁的女性的病例报告,下巴胀和牙松动.
- 诊断成像包括骨科影像 (OPG) 和形光束计算机断层扫描 (CBCT).
- 生物化学分析和塞斯塔米比扫描证实了诊断,随后进行了副甲状腺切除术.
主要成果:
- 在下和上中发现了放射性病变,表明棕色瘤.
- 在OPG.上观察到一般化薄膜硬膜的损失.
- 生物化学测试和成像证实了由于单个副甲状腺腺瘤导致的PHPT.
结论:
- 初级甲状腺功能障碍症最初可能只表现为口腔症状.
- 牙医在通过例行放射性检查来早期检测PHPT等内分泌病症方面发挥着至关重要的作用.
- 及时诊断和手术干预 (副甲状腺切除术) 导致了积极的临床和放射性结果.
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