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首页> 外文期刊>Journal of Surgical Case Reports >Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism
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Intrathyroidal parathyroid hyperplasia in tertiary hyperparathyroidism

机译：第三甲状旁腺功能亢进症中的甲状旁腺甲状旁腺增生

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We report herein a case of intrathyroidal parathyroid hyperplasia in a patient with tertiary hyperparathyroidism. The patient was recommended for parathyroidectomy due to sustained hypercalcemia after kidney transplantation. Preoperative radiologic evaluations showed a benign-looking thyroid mass and three enlarged parathyroid glands. Intraoperative intact parathyroid hormone (iPTH) level and frozen biopsy results indicated a missed parathyroid gland after immediate subtotal parathyroidectomy. Then, a secondary partial resection of thyroid including the thyroid nodule was performed. An excised intrathyroid nodule was diagnosed to be parathyroid hyperplasia by frozen biopsy, and intraoperative iPTH level abruptly decreased. A benign-looking thyroidal mass in patients with secondary or tertiary hyperparathyroidism should be carefully evaluated considering the possibility of an intrathyroidal parathyroid hyperplasia.
机译：我们在此报告三级甲状旁腺功能亢进症患者甲状腺内甲状旁腺增生的情况。由于肾移植术后持续高钙血症，建议该患者进行甲状旁腺切除术。术前影像学检查显示甲状腺良性肿块和三个扩大的甲状旁腺。术中完整的甲状旁腺激素（iPTH）水平和冰冻活检结果表明，立即进行亚全区甲状旁腺切除术后甲状旁腺缺失。然后，进行包括甲状腺结节在内的甲状腺的第二次部分切除。经冷冻活检，切除的甲状腺内结节被诊断为甲状旁腺增生，术中iPTH水平突然下降。考虑到甲状腺内甲状旁腺增生的可能性，应仔细评估患有继发性或三级甲状旁腺功能亢进的患者的良性甲状腺肿块。

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