青年人甲状旁腺腺瘤2例  

Two cases of parathyroid adenoma

作　　者：郑玥[1] 王平[1] 朱天明[1] 

机构地区：[1]沈阳军区总医院北陵临床部,沈阳110031

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第9期497-497,共1页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：例1,女,33岁,汉族。因体检发现颈前肿物1周于2010年12月22日入院。无声嘶、吞咽困难。右叶甲状腺中下极触及直径2.5cm的肿物,质中等硬,光滑,随吞咽上下活动,无疼痛。彩超示：甲状腺右叶3.2cm×2.0cm囊实性肿物。泌尿系彩超示：右肾结石,直径0.6cm。血钙3.0mmol/L,碱性磷酸酶171U/L。术前诊断：右侧结节性甲状腺肿。入院后第4天在全身麻醉下手术，切除右叶甲状腺大部后见肿物与甲状腺组织无关联；继续显露游离肿物，探查右叶甲状腺中极后外方直径2．5cm肿物，质软，界清光滑，完整切除。病理诊断为甲状旁腺腺瘤。术后第5天血钙2．13mmol／L，碱性磷酸酶159U／L，痊愈出院。随访1年情况良好。Summary Parathyroid adenoma can cause primary hyperparathyroidism. Too much parathyroid hormone effects on bone, kidney and small intestine, which can cause parathyroid hormone, serum calciums, urine calcium and serum alkaline phosphotase elevated, while serum phosphate decreased. Clinical manifestations~ of osteoporo- sis, kidney stones, high calcium crisis and a serise of performance. There were 2 cases suffered from parathyroid adenoma and parathyroid hyperfunction in our hospital from December 22,2010 to March 11,2011. Surgical opera- tion is the best treatment method.

关 键 词：甲状旁腺腺瘤 青年人 

分 类 号：R736.2[医药卫生—肿瘤]