摘要
原发性甲状旁腺功能亢进症多由颈部单个、实性腺瘤所致,极少数为异位,合并异位囊性的病灶更少。本文报告一例特殊的原发性甲旁亢,其定性诊断明确,CT影像学检查发现前纵隔囊性病灶,但特异性核素显像未见放射性浓聚。胸腔镜下肿瘤切除术后,患者血甲状旁腺激素和血钙水平迅速恢复,病理为甲状旁腺瘤囊性变。
Primary hyperparathyroidism(PHPT)is the disease in parathyroid glands,and it mainly caused by cervical single solid parathyroid adenomas.Ectopic cystic parathyroid adenoma is an uncommon cause of PHPT.This article reports a rare case of PHPT.Computed tomography scan demonstrated a hypodense mass in the anterior mediastinum,without uptake of 99m technetium-Methoxyisobutylisonitrile(99m Tc-MIBI)and cholinergic Positron mission tomography-Computer tomography(PET-CT)scanning.Following thoracoscopic resection of the tumor,serum parathyroid hormone and serum calcium levels of the patient rapidly normalized.Final pathology confirmed the diagnosis of ectopic parathyroid adenoma with cystic degeneration.
作者
姜蕾
项捷
宋佳熹
张一帆
谢静
刘建民
孙立昊
顾卫琼
JIANG Lei;XIANG Jie;SONG Jia-xi;ZHANG Yi-fan;XIE Jing;LIU Jian-min;SUN Li-hao;GU Wei-qiong(Department of Endocrinology and Metabolism,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Thoracic Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Nuclear Medicine,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Pathology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)
出处
《中华骨质疏松和骨矿盐疾病杂志》
北大核心
2025年第2期191-197,共7页
Chinese Journal Of Osteoporosis And Bone Mineral Research
