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甲状腺内甲状旁腺腺瘤——一例意外诊断病例

Intrathyroidal Parathyroid Adenoma - An Incidental Diagnosis.

作者信息

Pandya Shalini, Desai Swapan, Parikh Rachna

机构信息

Department of Internal Medicine, Sterling Hospital, Ahmedabad, 380052 India.

Cellcare Pathology, Ahmedabad, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4825-4827. doi: 10.1007/s12070-024-04873-8. Epub 2024 Jul 22.

DOI:10.1007/s12070-024-04873-8
PMID:39376308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11455995/
Abstract

Aim This case report highlights the importance of preoperative assessment of calcium in all cases of thyroid surgery. Intrathyroidal parathyroid adenoma (IPA) is a rare presentation of primary hyperparathyroidism. It is caused by abnormal embryonic migration of parathyroid glands and is difficult to detect preoperatively. When diagnosed pre operatively it has good surgical outcome. Herein authors present a case of thirty-two-year lady who underwent hemithyroidectomy for colloid goitre and was detected to have intrathyroidal parathyroid adenoma (IPA) on histopathological examination.

摘要

目的 本病例报告强调了在所有甲状腺手术病例中进行术前钙评估的重要性。甲状腺内甲状旁腺腺瘤(IPA)是原发性甲状旁腺功能亢进的一种罕见表现。它是由甲状旁腺异常的胚胎迁移引起的,术前难以检测到。如果术前诊断出来,手术效果良好。在此,作者报告一例32岁女性,因胶体性甲状腺肿接受了甲状腺半切除术,术后组织病理学检查发现患有甲状腺内甲状旁腺腺瘤(IPA)。

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本文引用的文献

1
Intrathyroidal Parathyroid Adenomas in Primary Hyperparathyroidism: Clinical and Imaging Findings.原发性甲状旁腺功能亢进症中的甲状腺内甲状旁腺腺瘤:临床及影像学表现
Sisli Etfal Hastan Tip Bul. 2022 Jun 28;56(2):256-261. doi: 10.14744/SEMB.2022.82584. eCollection 2022.
2
A case of intrathyroid parathyroid tumor that was difficult to diagnose by ultrasonography.1例难以通过超声诊断的甲状腺内甲状旁腺肿瘤。
Ultrasound J. 2020 Apr 3;12(1):17. doi: 10.1186/s13089-020-00164-9.
3
Parathyroid Adenoma Completely Impacted within the Thyroid Gland: A Case Report.完全位于甲状腺内的甲状旁腺腺瘤:一例报告
J Clin Diagn Res. 2016 Jun;10(6):MD01-2. doi: 10.7860/JCDR/2016/17428.8043. Epub 2016 Jun 1.
4
2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer.2015年美国甲状腺协会成人甲状腺结节和分化型甲状腺癌管理指南:美国甲状腺协会甲状腺结节和分化型甲状腺癌指南工作组
Thyroid. 2016 Jan;26(1):1-133. doi: 10.1089/thy.2015.0020.
5
An interesting case of intrathyroidal parathyroid adenoma.甲状腺内甲状旁腺腺瘤的一个有趣病例。
BMJ Case Rep. 2015 May 6;2015:bcr2015210351. doi: 10.1136/bcr-2015-210351.
6
Anatomy and embryology of the thyroid and parathyroid glands.甲状腺及甲状旁腺的解剖学与胚胎学
Semin Ultrasound CT MR. 2012 Apr;33(2):104-14. doi: 10.1053/j.sult.2011.12.005.
7
Intrathyroid parathyroid adenoma: incidence and location--the case against thyroid lobectomy.甲状腺内甲状旁腺腺瘤:发生率和位置——反对甲状腺叶切除术的理由。
Otolaryngol Head Neck Surg. 2011 Jun;144(6):867-71. doi: 10.1177/0194599811400366. Epub 2011 Mar 4.
8
Parathyroid incidentalomas in normocalcemic patients during thyroid surgery.甲状腺手术中正常血钙患者的甲状旁腺偶发瘤。
World J Surg. 1996 Sep;20(7):830-4; discussion 834. doi: 10.1007/s002689900126.