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甲状旁腺亚次全切除术治疗MEN1型相关甲状旁腺功能亢进1例 被引量:1

Less-than-subtotal parathyroidectomy in MEN1-ralated primary hyperparathyroidism:a case report
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摘要 1病例报告患者,女,50岁,因骨痛伴血钙升高2年于2020年1月17日收入我院。患者2年前无明显诱因出现持续性骨痛,以背部关节处最为明显,疼痛可耐受,后又因外部轻度撞击导致右侧3~6肋骨折,予保守治疗. This case reported a case of multiple endocrine neoplasia type 1(MEN1).The patient was admitted to hospital on January 172020 due to persistent ostealgia and the elevated calcium level in the last 2 years.Laboratory tests showed elevated parathyroid hormone(PTH)and serum calcium level,which were 2295 ng/L(normal,10-69 ng/L)and 3.15 mmol/L(normal,2.03-2.54 mmol/L).Ultrasound of the neck found a solid nodule under the left inferior pole of thyroid,while 99mTc-MIBI SPECT/CT showed enhancement at the same place.Subsequently,cranial MRI found a tumor in sellar area,and abdominal MRI showed a tumor in left adrenal gland.Finally,the patient was diagnosed as MEN1.
作者 宁家昕 谢东辉 李建坤 缪刚 NING Jiaxin;XIE Donghui;LI Jiankun
出处 《临床耳鼻咽喉头颈外科杂志》 CSCD 北大核心 2022年第3期222-225,共4页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词 多发性内分泌腺瘤病1型 甲状旁腺功能亢进 外科手术 multiple endocrine neoplasia type 1 hyperparathyroidism surgical procedures operative
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