复发性甲状旁腺囊肿1例

J Lorenzo, G Fernández, B Iglesias, R Boente, M Sas
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引用次数: 3

摘要

甲状旁腺囊肿是一种非常罕见的疾病,到目前为止只有大约200例病例被报道。它可以是功能性的,也可以是非功能性的。影像学的研究并不能说明是甲状旁腺的病变还是其他原因的病变,诊断是通过穿刺抽吸液的分析得出的,可见甲状旁腺的浓度很高。手术是治疗功能性囊肿和穿刺抽吸治疗非功能性囊肿的一种方法,它们通常只用一次就能解决,但有时需要反复治疗,甚至多次治疗,以备复发时使用。我们提出一个临床病例复发甲状旁腺囊肿和他的自然演变,由于病人排斥手术,是必要的反复穿刺。10年后没有恶性肿瘤,患者的功能状态也没有改变,需要每2-3个月对局部病变进行重复穿刺。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Recurrent parathyroid cyst: a clinical case].

The parathyroid cyst is a very infrequent entity, so much so that only round about 200 cases have been described up to now. It can be functional and non-functional. The studies of image don't clarify to us if procedence becomes of parathyroid or it has another origin, and the diagnosis is made with the analysis come from the liquid obtained in the puncture aspiration, where high PTH's concentrations are seen. Surgery is the treatment for functional cysts and the puncture aspiration for non- functional, the fact that they use to get solved with only one but sometimes is necessary to repeated it, even more than one time, keeping for the surgery when recurrent. We presented a clinical case of recurrent parathyroid cyst and his natural evolution, due to patient rejects surgery, being necessary repeated punctures. It hasn't become malignant after 10 years and his functional status wasn't changed, being necessary to accomplish repeated punctures aspirations each 2-3 months for local bothers.

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