Spontaneous remission of primary hyperparathyroidism due to hemorrhagic infarction in the parathyroid adenoma.
Spontaneous remission of primary hyperparathyroidism due to hemorrhagic infarction in the parathyroid adenoma.
复制标题
甲状旁腺腺瘤出血性梗塞所致原发性甲状旁腺功能亢进症的自发缓解。
DOI：
10.2169/internalmedicine.35.646
复制
发表时间：
1996
影响因子：
1.2
通讯作者：
K. Nakao
中科院分区：
文献类型：
--
作者：
K. Natsui;Kiyoshi Tanaka;M. Suda;A. Yasoda;S. Yonemitsu;K. Nakao
一名 59 岁男性因全身不适、多尿、烦渴就诊于京都大学医院。原发性甲状旁腺功能亢进症的诊断是基于高钙血症和循环 PTH 水平升高。左前颈可触及一个结节。两周后，血清钙水平恢复正常，症状消退。通过连续超声检查观察到肿瘤尺寸暂时扩张，随后缩小。切除肿瘤的组织学显示中央坏死组织，周围残留一些腺组织。我们在这里报告一例罕见的原发性甲状旁腺功能亢进症，由于腺瘤出血性梗塞而自发缓解。
A 59-year-old man visited Kyoto University Hospital because of general malaise, polyuria, and polydipsia. The diagnosis of primary hyperparathyroidism was made based on hypercalcemia and an elevated circulating PTH level. A nodule was palpable in the left anterior neck. Two weeks later, the serum calcium level was normalized and his symptoms subsided. A temporary expansion, followed by reduction of the tumor size was observed by serial ultrasonography. Histology of the resected tumor showed central necrotic tissue, with some peripherally remaining glandular tissue. We report here a rare case of primary hyperparathyroidism with spontaneous remission due to hemorrhagic infarction in the adenoma.