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多发性并发非典型甲状旁腺腺瘤:罕见发生。

Multiple concurrent atypical parathyroid adenomas: a rare occurrence.

机构信息

Otolaryngology, Surrey and Sussex Healthcare NHS Trust, Redhill, UK

Otolaryngology, Surrey and Sussex Healthcare NHS Trust, Redhill, UK.

出版信息

BMJ Case Rep. 2020 May 20;13(5):e234421. doi: 10.1136/bcr-2020-234421.

DOI:10.1136/bcr-2020-234421
PMID:32439745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7247396/
Abstract

We present a case of an 80-year-old patient with three concurrent multiple atypical parathyroid adenomas. The patient was managed with bilateral parathyroid exploration and concurrent parathyroidectomy. Postoperative recovery was uneventful. Atypical parathyroid adenomas are a rare entity that are clinically difficult to distinguish from parathyroid carcinoma. Histological characteristics are similar however atypical adenomas lack complete capsular or vascular invasion and cannot be considered malignant. All reported cases of atypical parathyroid adenoma are solitary lesions. We present the first case of multiple concurrent atypical parathyroid adenomas.

摘要

我们报告一例 80 岁患者同时患有三个多发性非典型甲状旁腺腺瘤。该患者接受了双侧甲状旁腺探查和同期甲状旁腺切除术。术后恢复顺利。非典型甲状旁腺腺瘤是一种罕见的实体瘤,临床上很难与甲状旁腺癌相区别。组织学特征相似,但非典型腺瘤缺乏完整的包膜或血管侵犯,不能被认为是恶性的。所有报道的非典型甲状旁腺腺瘤都是单发病变。我们报告首例多发性同时性非典型甲状旁腺腺瘤。

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Atypical Parathyroid Adenoma with Multiple Brown Tumors as Initial Presentation: A Rare Entity.以多发性棕色瘤为首发表现的非典型甲状旁腺腺瘤:一种罕见病例
Indian J Nucl Med. 2017 Apr-Jun;32(2):133-136. doi: 10.4103/0972-3919.202234.
2
The American Association of Endocrine Surgeons Guidelines for Definitive Management of Primary Hyperparathyroidism.美国内分泌外科学会原发性甲状旁腺功能亢进症确定性治疗指南。
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Parathyroid carcinoma and atypical parathyroid neoplasms in MEN1 patients; A clinico-pathologic challenge. The MD Anderson case series and review of the literature.MEN1 患者中的甲状旁腺癌和非典型甲状旁腺肿瘤:临床病理挑战。MD 安德森病例系列和文献复习。
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Atypical Parathyroid Adenoma Complicated with Protracted Hungry Bone Syndrome after Surgery: A Case Report and Literature Review.非典型甲状旁腺腺瘤术后并发迁延性饥饿骨综合征:1例报告及文献复习
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An Interesting Case of Life-Threatening Hypercalcemia Secondary to Atypical Parathyroid Adenoma versus Parathyroid Carcinoma.一例由非典型甲状旁腺腺瘤与甲状旁腺癌继发的危及生命的高钙血症的有趣病例。
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