Schalet Grant N, Vincent Luke, Eguez Carl, Diaz Gerardo, Shachner Mark S
Surgery, Broward Health Medical Center, Fort Lauderdale, USA.
Surgery, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus. 2023 Sep 7;15(9):e44849. doi: 10.7759/cureus.44849. eCollection 2023 Sep.
Hyperparathyroidism usually presents asymptomatically with elevated levels of calcium and parathyroid hormone; this biochemical imbalance establishes the diagnosis. In 80-85% of cases of primary hyperparathyroidism, singular parathyroid adenomas occur. In rare cases, this problem occurs due to multiple adenomas, multiglandular hyperplasia, or parathyroid carcinoma. Recurrent primary hyperparathyroidism (R-PHPT), as demonstrated in this case, is defined as hypercalcemia that arises after six months of normocalcemia following initial surgery for PHPT. The aim of this report is to describe the diagnosis and management of three parathyroid adenomas in a patient, two of which occurred after an initial partial parathyroidectomy.
甲状旁腺功能亢进通常无症状，表现为钙和甲状旁腺激素水平升高；这种生化失衡确立了诊断。在80%-85%的原发性甲状旁腺功能亢进病例中，会出现单个甲状旁腺腺瘤。在罕见情况下，该问题是由多个腺瘤、多腺体增生或甲状旁腺癌引起的。如本病例所示，复发性原发性甲状旁腺功能亢进（R-PHPT）定义为在初次手术治疗甲状旁腺功能亢进后，经过六个月血钙正常期后出现的高钙血症。本报告的目的是描述一名患者的三个甲状旁腺腺瘤的诊断和治疗情况，其中两个是在初次部分甲状旁腺切除术后出现的。
