■自发性或细针穿刺活检(FNAB)诱导的原发性甲状旁腺功能亢进(PHPT)缓解是一种极为罕见且通常是短暂的现象。
■一名40岁有反复肾结石病史的女性被诊断为PHPT(血清钙,14.2mg/dL;甲状旁腺激素[PTH],380pg/mL)。超声检查和闪烁显像结果与左侧甲状旁腺肿大一致。超声引导下的FNAB细胞学检查未证实甲状旁腺性质。然而,针头冲洗液中PTH水平升高.
■几天后,有证据表明高钙血症的生化缓解(钙,8.1mg/dL),在随后的后续访问中,在12个月的随访期间,甲状旁腺肥大表现为进行性收缩,并伴有血白蛋白和PTH水平恢复正常.
■很少,在超声引导下对功能亢进的甲状旁腺病变进行FNAB后,PHPT可能会缓解.
UNASSIGNED: Spontaneous or fine-needle aspiration biopsy (FNAB)-induced remission of primary hyperparathyroidism (
PHPT) is an extremely rare and generally transient phenomenon.
UNASSIGNED: A 40-year-old woman with a history of recurrent kidney stones was diagnosed with
PHPT (serum calcium, 14.2 mg/dL; parathyroid hormone [PTH], 380 pg/mL). Ultrasonography and scintigraphy findings were consistent with a left enlarged parathyroid. Ultrasound-guided-FNAB cytology of the lesion did not confirm a parathyroid nature. However, levels of PTH within the needle-washing fluid were elevated.
UNASSIGNED: After few days, there was evidence of biochemical remission of the hypercalcemia (calcium, 8.1 mg/dL), and at subsequent follow-up visits, the enlarged parathyroid showed progressive shrinkage with eucalcemia and normalized PTH levels throughout 12 months of follow-up.
UNASSIGNED: Rarely, remission of
PHPT may occur after ultrasound-guided-FNAB performed on a hyperfunctioning parathyroid lesion.