Ahadizadeh Emily N, Manzoor Nauman F, Wasman Jay, Lavertu Pierre
Ear, Nose, and Throat Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, LKS 4500, Cleveland, OH, United States; Case Western Reserve University, School of Medicine, 10900 Euclid Avenue, Cleveland, OH, United States.
Ear, Nose, and Throat Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, LKS 4500, Cleveland, OH, United States.
Am J Otolaryngol. 2017 Jul-Aug;38(4):496-497. doi: 10.1016/j.amjoto.2017.03.003. Epub 2017 Mar 29.
Primary hyperparathyroidism (PHPT) is a frequently encountered endocrine disorder due to benign neoplastic lesions or gland hyperplasia. It is often discovered incidentally when routine lab work reveals hypercalcemia.
This case presents a 55-year-old male with a neck mass and electrolyte irregularities consistent with PHPT. However, his laboratory values suddenly normalized prior to surgery.
Post-operative pathologic analysis of the specimen demonstrated massive infarction of the affected gland, and explained the spontaneous resolution of the patient's electrolyte derangements.
The objective of this case study is to demonstrate the importance of further investigation in patients with fluctuating lab values and emphasize the potential dangers of gland infarction.
原发性甲状旁腺功能亢进症（PHPT）是一种常见的内分泌疾病，由良性肿瘤性病变或腺体增生引起。通常在常规实验室检查发现高钙血症时偶然被发现。
本病例为一名55岁男性，有颈部肿块和与PHPT相符的电解质紊乱。然而，他的实验室检查值在手术前突然恢复正常。
对标本的术后病理分析显示受影响的腺体发生大面积梗死，并解释了患者电解质紊乱的自发缓解。
本病例研究的目的是证明对实验室检查值波动的患者进行进一步检查的重要性，并强调腺体梗死的潜在危险。
