甲状旁腺偶发瘤
Parathyroid incidentaloma.
作者信息
Khanna Seema, Singh Seema, Khanna Ajay K
机构信息
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
出版信息
Indian J Surg Oncol. 2012 Mar;3(1):26-9. doi: 10.1007/s13193-012-0143-5. Epub 2012 Mar 28.
Incidentalomas are lesions which are asymptomatic and detected incidently during imaging or surgery. Parathyroid incidentalomas are a rare entity. Enlargement of gland without hyperfunction may be an early stage of disease. Symptomatology is usually non-specific or related to renal and skeletal system. Total serum calcium estimation may be used as a screening modality. Sestamibi scan is a more accurate imaging technique than USG. FNAB - PTH measurement is the most reliable minimally invasive nonsurgical test for parathyroid tissue verification. Incidently discovered enlarged parathyroid gland may be removed to avoid a re-do surgery.
偶发瘤是指在影像学检查或手术过程中偶然发现的无症状病变。甲状旁腺偶发瘤是一种罕见的疾病。腺体增大但无功能亢进可能是疾病的早期阶段。症状通常是非特异性的，或与肾脏和骨骼系统有关。血清总钙测定可作为一种筛查方式。锝[99mTc]甲氧基异丁基异腈扫描是一种比超声更准确的成像技术。细针穿刺抽吸活检-甲状旁腺激素测量是用于甲状旁腺组织验证的最可靠的微创非手术检测方法。偶然发现的甲状旁腺肿大可予以切除，以避免再次手术。
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