Pino Rivero Vicente, Marqués Rebollo Luis, Ambel Albarrán Alfonso, Trinidad Ruíz Gabriel, Pardo Romero Guillerma, Blasco Huelva Antonio
Facultativo Especialista del Area de Otorrinolaringología (ORL), Servicio Orl Hospital Infanta Cristina, Badajoz.
An Otorrinolaringol Ibero Am. 2003;30(5):459-66.
The association of hyperparathyroidism with thyroid pathology previous to surgery is not very frequent in our cases, almost a 15%, but it means another difficulty for the diagnostic and treatment. Between 1991 and 2001 we have studied and operated 15 patients with this clinic association. 14 were female and only 1 male with a range age of 59 years old. We studied the type of hyperparathyroidism, personal history, clinic, type of thyroid pathology associated, complementary explorations, type of surgery, anatomopathology evolution, and hospital stay. We have done 12 adenoma resections, 1 subtotal parathyroidectomy, 2 total thyroidectomies and 5 hemithyroidectomies. Only in one patient the anatomopathology was informed as a thyroid carcinoma associated to a parathyroid adenoma, being the other patients benign pathologies. We did literaturer revision on this association. We believe that in all patients with a thyroid pathology we should an associated hyperparathyroidism and vice versa.
在我们的病例中，甲状旁腺功能亢进与术前甲状腺病变的关联并不常见，几乎为15%，但这给诊断和治疗带来了另一个难题。在1991年至2001年间，我们对15例有这种临床关联的患者进行了研究和手术。其中14例为女性，仅1例男性，年龄范围为59岁。我们研究了甲状旁腺功能亢进的类型、个人病史、临床症状、相关甲状腺病变的类型、辅助检查、手术类型、解剖病理学演变以及住院时间。我们进行了12例腺瘤切除术、1例甲状旁腺次全切除术、2例甲状腺全切除术和5例甲状腺半叶切除术。只有1例患者的解剖病理学报告为甲状腺癌合并甲状旁腺腺瘤，其他患者均为良性病变。我们对这种关联进行了文献复习。我们认为，对于所有有甲状腺病变的患者，都应考虑是否存在甲状旁腺功能亢进，反之亦然。
