Cating-Cabral Monica Therese, Cabungcal Arsenio Claro, Villafuerte Cesar Vincent, Añel-Quimpo Joselynna
Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of the Philippines, Philippine General Hospital, Manila, Philippines.
BMJ Case Rep. 2012 Jun 8;2012:bcr2012006198. doi: 10.1136/bcr-2012-006198.
This is a case of a 44-year-old woman with an anterior neck mass and hypothyroidism who presented with an incidental finding of an elevated serum calcium level and was found to have primary hyperparathyroidism and osteoporosis. During surgical exploration no parathyroid adenoma was found, although a nodule was palpated within the right thyroid lobe. Examination of the excised right thyroid lobe revealed an intrathyroidal parathyroid adenoma and chronic lymphocytic thyroiditis. After surgery, she did not develop severe hypocalcaemia and this was attributed to preoperative treatment with pamidronate. In the months following surgery, parathyroid hormone remained undetectable.
这是一例44岁女性患者，有颈部前方肿物及甲状腺功能减退，偶然发现血清钙水平升高，诊断为原发性甲状旁腺功能亢进症和骨质疏松症。手术探查时未发现甲状旁腺腺瘤，尽管在右侧甲状腺叶内可触及一个小结节。对切除的右侧甲状腺叶进行检查发现甲状腺内甲状旁腺腺瘤及慢性淋巴细胞性甲状腺炎。术后，她未发生严重低钙血症，这归因于术前使用帕米膦酸治疗。术后数月，甲状旁腺激素仍检测不到。
