Otolaryngology, Surrey and Sussex Healthcare NHS Trust, Redhill, UK
Otolaryngology, Surrey and Sussex Healthcare NHS Trust, Redhill, UK.
BMJ Case Rep. 2020 May 20;13(5):e234421. doi: 10.1136/bcr-2020-234421.
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.
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。