CT 诊断证实为异位甲状旁腺腺瘤。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2024-07-15 DOI:10.61409/V03240169

Marie Louise Hounsgaard, Per Karkov Cramon, Anne Jarlðv

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引用次数: 0

摘要

原发性甲状旁腺功能亢进症（PHPT）是导致高钙血症的最常见原因，发病率占总人口的0.3%。唯一可治愈的方法是甲状旁腺切除术。异位腺瘤很难定位，而且经常导致持续性PHPT。本病例报告了一名 29 岁的男性患者，他在颈部手术前被诊断出患有 PHPT，并再次进行了双侧颈部探查手术。然而，PHPT 并未痊愈，直到使用造影剂的 CT 诊断帮助定位了胸腺右角的 1 厘米异位甲状旁腺腺瘤。随后，该腺瘤被成功切除。

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Ectopic parathyroid adenoma proved by diagnostic CT.

Primary hyperparathyroidism (PHPT) is the most prevalent cause of hypercalcaemia, affecting 0.3% of the population. The only curative procedure is parathyroidectomy. Ectopic adenomas are challenging to localize and frequently result in persistent PHPT. This is a case report of a 29-year-old male patient who was diagnosed with PHPT prior to neck surgery and reoperated with bilateral neck exploration. However, the PHPT was not cured, until diagnostic CT with contrast had helped localizing a 1 cm ectopic parathyroid adenoma in the right horn of the thymus gland. The adenoma was then removed successfully.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.