关键词: Case report Fine needle aspiration Intraoperative frozen section Parathyroid carcinoma Surgical resection

来  源:   DOI:10.12998/wjcc.v12.i18.3609   PDF(Pubmed)

Abstract:
BACKGROUND: Parathyroid carcinoma (PC) is a difficult-to-diagnose rare disease with low incidence. Relatively accurate preoperative diagnosis is very important in choosing surgical methods and patient prognosis.
METHODS: This study reported the clinical diagnosis and treatment of a rare patient with PC located in the thyroid gland and provided a case reference for the diagnosis and treatment of PC. A case of a 64-year-old male patient who presented to our hospital with systemic muscle and joint pain and palpitations is outlined. Subsequently, the patient was admitted to the Department of Nephrology for the treatment of \"multiple myeloma nephropathy pending investigation\". The patient was diagnosed with \"primary hyperparathyroidism and hypercalcemic crisis\" using thyroid color ultrasound.
CONCLUSIONS: The intraoperative frozen section report considered the parathyroid tumor. Surgical tumor resection was promptly performed, and the diagnosis of PC was confirmed.
摘要:
背景:甲状旁腺癌(PC)是一种难以诊断的罕见疾病,发病率低。相对准确的术前诊断对选择手术方法和患者预后非常重要。
方法:本研究报告1例位于甲状腺的罕见PC患者的临床诊治情况,为PC的诊治提供病例参考。概述了一例64岁的男性患者,该患者因全身性肌肉和关节痛以及心悸来到我们医院。随后,该患者因“多发性骨髓瘤肾病待调查”入院治疗。患者使用甲状腺彩色超声诊断为“原发性甲状旁腺功能亢进和高钙血症危象”。
结论:术中冰冻切片报告考虑甲状旁腺肿瘤。及时进行手术切除肿瘤,诊断为PC。
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