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偶然发现甲状旁腺囊肿引起的严重高钙血症:术中甲状旁腺激素(IOPTH)监测的局限性。

Incidentally discovered severe hypercalcaemia from a functioning parathyroid cyst: the limitations of intraoperative parathyroid hormone (IOPTH) monitoring.

机构信息

Division of Otolaryngology-Head and Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA

The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.

出版信息

BMJ Case Rep. 2021 May 25;14(5):e239119. doi: 10.1136/bcr-2020-239119.

Abstract

Parathyroid cysts (PCs) are rare pathologies and are typically non-functional (do not secrete parathyroid hormone (PTH)). The aetiology of PCs is highly debated, and management is complex. We present a unique case of a parathyroid adenoma contained within a functional PC and highlight the limitations of intraoperative PTH monitoring during the surgical resection of functional PCs.

摘要

甲状旁腺囊肿(PCs)是罕见的病理情况,通常是无功能性的(不分泌甲状旁腺激素(PTH))。PCs 的病因存在广泛争议,其治疗管理也很复杂。我们报告了一个独特的病例,即一个功能性 PC 内包含甲状旁腺腺瘤,并强调了在功能性 PCs 的手术切除过程中,术中 PTH 监测的局限性。

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A rare case of a parathyroid adenoma inside a parathyroid cyst.甲状旁腺囊肿内甲状旁腺腺瘤的罕见病例。
Arq Bras Endocrinol Metabol. 2014 Oct;58(7):776-8. doi: 10.1590/0004-2730000003211.

本文引用的文献

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A single-institution 25-year review of true parathyroid cysts.一项针对真正甲状旁腺囊肿的单机构25年回顾。
Langenbecks Arch Surg. 2006 Feb;391(1):13-8. doi: 10.1007/s00423-005-0579-y. Epub 2005 Sep 23.

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