临床误诊误治2016，Vol.29Issue(4)：19-21,3.DOI:10.3969/j.issn.1002-3429.2016.04.006
罕见甲状旁腺腺瘤癌变误诊一例
Parathyroid Adenoma Carcinogenesis:A Rarely Misdiagnosed Case Report and Literature Review
陈贵兵 1杨华夏 2侯文宇 2夏绍友2
作者信息
- 1. 610083 成都，成都军区总医院普外中心
- 2. 100853 北京，解放军总医院普通外科
- 折叠
摘要
Abstract
Objective To summarize the misdiagnosis cause and therapy of parathyroid adenoma carcinogenesis. Methods A retrospective analysis was conducted on a misdiagnosed case with parathyroid adenoma carcinogenesis in the General Hospital of PLA . Results The patient suffered from the pain of the right tibia and sternal rib for over 7 months. He had been misdiagnosed as having giant cell tumor of bone in another hospital. The pain was not relieved after surgery. Moreo-ver, he had the obvious polydipsia, polyuria and frequency of micturition before he was admitted to our hospital. Laboratory analyses included hypercalcemia and high parathyroid hormone levels. The thyroid ultrasound confirmed nodules in the rear lower pole of the right lobe of the thyroid, and then it was diagnosed as parathyroid adenoma by the puncture biopsy guided by ultrasound. The lesion underwent complete surgical resection, and the patient was diagnosed as having parathyroid adenoma carcinogenesis by routine pathology examination and immunohistochemistry. Postoperative therapy was mainly infused calcium and phosphorus. The patient had no symptoms of pain sine then, and no recurrence during a 9-month follow up. Conclusion The symptoms, signs, imaging and laboratory of parathyroid carcinoma all lack specificity, therefore it can be easily misdi-agnosed in preoperative diagnosis. It can be conformed by histopathology and immunohistochemistry.关键词
甲状旁腺肿瘤/误诊/骨巨细胞瘤Key words
Parathyroid neoplasms/Misdiagnosis/Giant cell tumor of bone分类
医药卫生引用本文复制引用
陈贵兵,杨华夏,侯文宇,夏绍友..罕见甲状旁腺腺瘤癌变误诊一例[J].临床误诊误治,2016,29(4):19-21,3.
