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甲状旁腺癌行甲状旁腺切除术及患侧甲状腺大部切除术治疗。

Parathyroid carcinoma treated with parathyroidectomy and hemithyroidectomy.

机构信息

Department of General Surgery. "Dr. José Eleuterio Gonzalez" University Hospital, Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico.

Department of Pathology. "Dr. José Eleuterio Gonzalez" University Hospital, Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico.

出版信息

Cir Cir. 2020;88(Suppl 1):1-4. doi: 10.24875/CIRU.19001122.

Abstract

Parathyroid carcinoma is a very rare oncological entity, presenting insidiously in the second and fourth decades of life, characterized by hypercalcemia and hyperparathyroidism of difficult control, accompanied by general malaise, complications secondary to hypercalcemia and cervical tumor, being the main differential diagnosis of parathyroid adenoma. Complementing imaging studies of neck, scintigraphy, and contrast neck computed tomography. The diagnostic suspicion of parathyroid carcinoma is usually confirmed by the pathology of the surgical specimen. The surgery of choice is parathyroidectomy plus ipsilateral thyroidectomy. Monitoring of hypercalcemia and hyperparathyroidism is performed.

摘要

甲状旁腺癌是一种非常罕见的肿瘤实体,在生命的第二和第四十年间隐匿地出现,其特征是难以控制的高钙血症和甲状旁腺功能亢进,伴有全身不适、高钙血症和颈部肿瘤的并发症,是甲状旁腺腺瘤的主要鉴别诊断。补充颈部影像学研究、闪烁扫描和对比颈部计算机断层扫描。甲状旁腺癌的诊断怀疑通常通过手术标本的病理学来证实。首选的手术是甲状旁腺切除术加同侧甲状腺切除术。监测高钙血症和甲状旁腺功能亢进。

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