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  

Less-than-subtotal parathyroidectomy in MEN1-ralated primary hyperparathyroidism:a case report

作　　者：宁家昕 谢东辉[1] 李建坤 缪刚[1,2] NING Jiaxin;XIE Donghui;LI Jiankun

机构地区：[1]北京医院普通外科甲状腺乳腺疝外科,国家老年医学中心,中国医学科学院老年医学研究院,北京100005 [2]北京协和医学院研究生院

出　　处：《临床耳鼻咽喉头颈外科杂志》2022年第3期222-225,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

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.

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 

分 类 号：R581[医药卫生—内分泌]