医源种植性异位甲状旁腺腺瘤致再发甲旁亢一例

One case report of recurrent primary hyperparathyroidism caused by iatrogenic implant ectopic parathyroid adenoma

目的甲状旁腺腺瘤(parathyroid adenoma,PTA)是引起甲状旁腺功能亢进(hyperparathyroidism,HPT)的重要原因,本研究报道1例因手术中医源性种植致甲状旁腺细胞增殖,在胸锁乳突肌内形成腺瘤引起HPT,从临床症状、实验室检验、颈部多普勒超声、影像学(99Tcm-MIBI SPECT/CT融合显像、CT)及病理学检查结果,结合患者首次穿刺及治疗的旁腺情况分析异位PTA致原发性甲状旁腺功能亢进(primary hyperparathyroidism,PHPT)。

Parathyroid adenoma(PTA)is an important cause of hyperparathyroidism(HPT).The author reported a case of HPT caused by proliferation of parathyroid cells caused by implantation during surgery,and the formation of adenoma in sternocleidomastoid muscle was detected.The understanding of primary hyperparathyroidism(PHPT)caused by ectopic PTA was analyzed from clinical symptoms,laboratory examination,the neck Doppler ultrasound,imaging(99TCm-MIBI SPECT/CT fusion imaging,CT)and pathological examination results,combined with the parathyroidism of the patient during the first operation.