[双侧甲状腺乳头状癌合并甲状旁腺腺瘤：1例报告]
[Bilateral papillary thyroid carcinoma concurrent with parathyroid adenoma: one case report].
作者信息
Zhao Hong, Zhao Hongling, Wang Cui
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Mar;29(6):565-6.
Concurrent thyroid carcinoma and parathyroid adenoma is rare, they can and do coexist. We present here a 63-year old man who had bilateral papillary thyroid carcinoma and a parathyroid adenoma in the right thyroid lobe. Thyroid cancer was confirmed surgically. After the operation, the patient was found hypercalcemie and hypophosphatemia along with an elevated parathyroid hormone (PTH), indicating primary hyperparathyroidism. Also, the parathyroid 99mTc-MIBI scan demonstrated parathyroid adenoma in the right lower pole of the thyroid. The abnormal parathyroid tissue was carried out, and then serum calcium and PTH levels decreased to normal ranges.
甲状腺癌与甲状旁腺腺瘤同时存在的情况较为罕见，但它们确实可以并存。我们在此报告一位63岁男性，其患有双侧甲状腺乳头状癌以及右侧甲状腺叶中的一个甲状旁腺腺瘤。甲状腺癌经手术确诊。术后，患者出现高钙血症、低磷血症以及甲状旁腺激素（PTH）升高，提示原发性甲状旁腺功能亢进。此外，甲状旁腺99mTc - MIBI扫描显示甲状腺右下极有甲状旁腺腺瘤。异常的甲状旁腺组织被切除，随后血清钙和PTH水平降至正常范围。
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