甲状旁腺腺瘤出血囊性变致高钙危象1例报道  

Hypercalcemic crisis caused by a parathyroid adenoma with hemorrhage and cystic degeneration: A case report

作　　者：金婷 柯巧芳 赵文和 钟婷婷 冯晓铖 周嘉强[1] Jin Ting;Ke Qiaofang;Zhao Wenhe;Zhong Tingting;Feng Xiaocheng;Zhou Jiaqiang(Department of Endocrinology and Metabolism,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China;Department of Surgical Oncology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China;Department of Pathology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院内分泌代谢科,杭州310016 [2]浙江大学医学院附属邵逸夫医院肿瘤外科,杭州310016 [3]浙江大学医学院附属邵逸夫医院病理科,杭州310016

出　　处：《中华内分泌代谢杂志》2023年第8期714-718,共5页Chinese Journal of Endocrinology and Metabolism

摘　　要：本文报道1例罕见的甲状旁腺腺瘤出血囊性变引发的高钙危象患者,并复习相关文献。患者术前影像学检查难以明确颈部囊性病灶的组织学来源,经积极药物治疗和血液透析不能缓解高钙危象,予手术探查并切除颈部病灶,病理诊断证实为甲状旁腺腺瘤出血囊性变,术后血钙和肾功能恢复正常。This paper reported a rare case of hypercalcemic crisis caused by a parathyroid adenoma with hemorrhage and cystic degeneration.Preoperative imaging examination of the patient was unable to determine the histological origin of the cervical cystic lesion.Despite aggressive medical treatment and hemodialysis,hypercalcemic crisis could not be relieved.Therefore,surgical exploration and excision of the cervical lesion were performed,and final diagnosis of parathyroid adenoma with hemorrhage and cystic degeneration was confirmed by pathology.Blood calcium level and renal function returned to normal after the surgery.

关 键 词：原发性甲状旁腺功能亢进症 甲状旁腺腺瘤出血囊性变 高钙危象 

分 类 号：R736.2[医药卫生—肿瘤]