Lee Byung Hoon, Kim Byungsoo
Department of Radiology, Inje University Ilsan Paik Hospital, 170 Juhwaro, Ilsanseogu, Goyang, Gyeonggido, South Korea.
Radiol Case Rep. 2020 Mar 26;15(5):628-632. doi: 10.1016/j.radcr.2020.02.030. eCollection 2020 May.
Tertiary hyperparathyroidism is defined as a state of excessive secretion of parathyroid hormone after long-standing secondary hyperparathyroidism, which typically occurs in patients with chronic kidney disease. Tertiary hyperparathyroidism is typically characterized by marked parathyroid hyperplasia or parathyroid adenomas. Here we present a case of multiple parathyroid adenomas in a 23-year-old woman with tertiary hyperparathyroidism due to chronic kidney disease and describe the ultrasonography and computed tomography findings. To our knowledge, this is the first case of four parathyroid adenomas showing variable radiological features in a patient with tertiary hyperparathyroidism.
三发性甲状旁腺功能亢进被定义为在长期继发性甲状旁腺功能亢进后甲状旁腺激素分泌过多的状态，这通常发生在慢性肾病患者中。三发性甲状旁腺功能亢进的典型特征是明显的甲状旁腺增生或甲状旁腺腺瘤。在此，我们报告一例23岁因慢性肾病导致三发性甲状旁腺功能亢进的女性患者出现多个甲状旁腺腺瘤的病例，并描述超声检查和计算机断层扫描结果。据我们所知，这是首例三发性甲状旁腺功能亢进患者出现四个具有不同影像学特征的甲状旁腺腺瘤的病例。
