甲状腺半侧发育不全同侧的甲状旁腺腺瘤
Parathyroid adenoma on the ipsilateral side of thyroid hemiagenesis.
作者信息
Kroeker Teresa R, Stancoven Kevin M, Preskitt John T
机构信息
Departments of Surgery (Kroeker, Preskitt) and Pathology (Stancoven), Baylor University Medical Center at Dallas. Dr. Stancoven is now at the University of Texas Southwestern Medical Center.
出版信息
Proc (Bayl Univ Med Cent). 2011 Apr;24(2):92-3. doi: 10.1080/08998280.2011.11928690.
We present a case of a parathyroid adenoma on the ipsilateral side of thyroid hemiagenesis-which, to our knowledge, is the third reported case of this entity. A 41-year-old man with nephrolithiasis was found to have elevated calcium and intact parathyroid hormone levels. Both ultrasound and technetium sestamibi scintigraphy with single photon emission computed tomography confirmed left thyroid hemiagenesis and an adenoma in the left inferior thyroid bed. The patient underwent left neck exploration, which confirmed left thyroid hemiagenesis and a left inferior parathyroid adenoma. The left inferior parathyroid gland was resected. The patient was discharged home the same day of surgery and has remained normocalcemic for 14 months without evidence of hyperparathyroidism.
我们报告了一例甲状旁腺腺瘤位于甲状腺半侧缺如同侧的病例——据我们所知，这是该实体的第三例报告病例。一名患有肾结石的41岁男性被发现血钙和完整甲状旁腺激素水平升高。超声检查以及单光子发射计算机断层扫描的锝-99m甲氧基异丁基异腈闪烁扫描均证实左侧甲状腺半侧缺如以及左下甲状腺床有一个腺瘤。患者接受了左侧颈部探查，证实为左侧甲状腺半侧缺如和左下甲状旁腺腺瘤。切除了左下甲状旁腺。患者在手术当天出院，术后14个月血钙一直正常，无甲状旁腺功能亢进的迹象。
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