甲状旁腺肿瘤的外科治疗

Surgical treatment of parathyroid tumor

甲状旁腺肿瘤根据病理大致可分为囊肿、增生、腺瘤及癌,患者主要以甲状旁腺功能亢进症状就诊,治疗以外科手术为主。良性肿瘤若出现血液生化改变或伴随甲状旁腺功能亢进的临床症状往往需考虑手术治疗。随着术前定位技术的发展,各种微创手术方法层出不穷并已成为外科医师的主要选择。而恶性肿瘤的诊断和治疗仍需早期进行,其诊疗经验还需不断完善。

Parathyroid tumor can be mainly divided into cyst, hyperplasia, adenoma and carcinoma pathologically. Most patients are characterized by hyperparathyroidism, surgery remains to be the most useful treatment, and those with hypercalcaemia and elevated levels of parathyroid hormone need surgical treatment. The improvement in imaging techniques over the past few years has led to the development of more localized surgery for most benign tumors for surgeons. For malignant tumor, early diagnosis and treatment is rather important while diagnosis and treatments remains to be progressed.