原发性甲状旁腺功能亢进症发现宫颈异位腺瘤

IF 0.2 4区医学 Q4 PATHOLOGY

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2024-03-01 DOI:10.1016/j.mednuc.2024.01.070

H. Peslier, F. Lacoeuille, P.J. Mention

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引用次数: 0

摘要

85%的原发性甲状旁腺功能亢进症通常是由位于甲状腺附近的单发甲状旁腺腺瘤引起的，必须进行根治性手术切除。罕见的异位腺瘤也有报道，这强调了全面功能成像的重要性，以最大限度地降低治疗失败或先天性并发症的风险。我们报告了一例转诊病例，患者是一名60岁女性，在评估双侧尿路结石时发现了原发性甲状旁腺功能亢进症。尽管宫颈超声检查呈阴性，但同位素研究证实存在异位的膈下宫颈甲状旁腺腺瘤，随后组织病理学分析证实了这一点。

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Primary hyperparathyroidism: Discovery of a cervical ectopic adenoma

Primary hyperparathyroidism typically results from a solitary parathyroid adenoma, located near the thyroid, in 85% of cases, necessitating curative surgical excision. Rare ectopic adenomas have been reported, emphasizing the importance of comprehensive functional imaging to minimize the risk of treatment failure or iatrogenic complications. We report a case involving a 60-year-old female referred for the etiological evaluation of primary hyperparathyroidism discovered during an assessment for bilateral urinary lithiasis. Despite a negative cervical ultrasound, isotopic studies confirmed the presence of an ectopic subdiaphragmatic cervical parathyroid adenoma, which was subsequently confirmed by histopathological analysis.

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来源期刊

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique PATHOLOGY-

CiteScore

0.30

自引率

0.00%

发文量

160

审稿时长

19.8 weeks

期刊介绍： Le but de Médecine nucléaire - Imagerie fonctionnelle et métabolique est de fournir une plate-forme d''échange d''informations cliniques et scientifiques pour la communauté francophone de médecine nucléaire, et de constituer une expérience pédagogique de la rédaction médicale en conformité avec les normes internationales.