Gui Shu-Yan, Zhang Chang-Ning, Ling Li, Tang Ruo-Xi, Yang Jing
Department of Endocrinology, Huazhong University of Science and Technology Union Shenzhen Hospital, The 6 Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen 518052, Guangdong Province, China.
World J Clin Cases. 2024 Jun 26;12(18):3609-3614. doi: 10.12998/wjcc.v12.i18.3609.
Parathyroid carcinoma (PC) is a difficult-to-diagnose rare disease with low incidence. Relatively accurate preoperative diagnosis is very important in choosing surgical methods and patient prognosis.
This study reported the clinical diagnosis and treatment of a rare patient with PC located in the thyroid gland and provided a case reference for the diagnosis and treatment of PC. A case of a 64-year-old male patient who presented to our hospital with systemic muscle and joint pain and palpitations is outlined. Subsequently, the patient was admitted to the Department of Nephrology for the treatment of "multiple myeloma nephropathy pending investigation". The patient was diagnosed with "primary hyperparathyroidism and hypercalcemic crisis" using thyroid color ultrasound.
The intraoperative frozen section report considered the parathyroid tumor. Surgical tumor resection was promptly performed, and the diagnosis of PC was confirmed.
甲状旁腺癌（PC）是一种难以诊断的罕见疾病，发病率低。相对准确的术前诊断对于选择手术方法和患者预后非常重要。
本研究报告了1例罕见的位于甲状腺的PC患者的临床诊断与治疗情况，为PC的诊治提供病例参考。概述了1例64岁男性患者，因全身肌肉关节疼痛、心悸来我院就诊。随后，该患者因“待查多发性骨髓瘤肾病”入住肾内科。经甲状腺彩色超声检查，该患者被诊断为“原发性甲状旁腺功能亢进症并高钙血症危象”。
术中冰冻切片报告考虑为甲状旁腺肿瘤。遂立即行手术肿瘤切除，确诊为PC。
