从同时发生的副甲状腺增生和异位性副甲状腺腺瘤引起的原发性副甲状腺症:一个病例报告
June Yao1, Clarice Szeto1, Chantal Riba1
1Department of Surgery, Community Memorial Hospital, 147 N. Brent Street, Ventura, 93003, California, USA, cmhshealth.org.
Case reports in endocrinology
|January 8, 2026
概括
手术后持续的副甲状腺功能障碍症可能表明多腺体疾病. 这一案例突出显示了并发的副甲状腺增生和宫外腺瘤,强调负面成像并不能排除活性副甲状腺疾病.
科学领域:
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 原发性偏甲状腺症 (PHPT) 通常可以通过偏甲状腺切除术治愈.
- 手术后对甲状腺激素 (PTH) 的持续升高表明多腺体参与.
- 诊断成像可以是负面的,尽管有活跃的甲状腺上腺疾病.
研究的目的:
- 报告一种罕见的同时出现单腺甲状腺增生和异位甲状腺腺瘤的病例.
- 为了说明持续PHPT的诊断挑战,尽管负面成像.
- 为了强调在耐火病例中考虑宫外副甲状腺组织的重要性.
主要方法:
- 一个72岁的女性长期患有PHPT的案例介绍.
- 对诊断成像和生化参数 (,PTH) 的审查.
- 手术干预包括初始副甲状腺切除术和随后的异位腺瘤切除.
主要成果:
- 初始甲状腺切除术治疗高血并没有消除PTH和的升高.
- 随后确定并切除了一种异位性副食道副甲状腺腺瘤.
- 在去除宫外腺瘤后,PHPT的成功解决.
结论:
- 阴性成像在PHPT中并不排除活性甲状腺疾病.
- 异位副甲状腺瘤甚至在明显的多腺体疾病治疗后也会导致持续的PHPT.
- 一个高的怀疑指数和彻底的调查对于耐火PHPT至关重要.
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