微创甲状旁腺癌甲状旁腺切除术后的 "饥饿骨综合征"。

Kwang-Min Kim, Joon-Beom Park, Keum-Seok Bae, Seong-Joon Kang
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引用次数: 0

摘要

在众多研究中,甲状旁腺癌的预后差异很大。因此,人们多次尝试对甲状旁腺癌的程度进行分级,最近,将甲状旁腺癌分为微小浸润性癌和广泛浸润性癌(类似于甲状腺滤泡癌)的做法使人们对预后有了更可靠的预测。如果因原发性甲状旁腺功能亢进而进行了甲状旁腺切除术,无论疾病的起因是什么,都会出现饥饿骨综合征。饥饿骨综合征的特点是术后由于包括钙在内的各种矿物质在骨骼中再矿化而导致低钙血症;这种综合征需要长期补充钙剂。作者旨在报告1例被诊断为微创甲状旁腺癌的29岁女性患者在甲状旁腺切除术后陷入饥饿骨综合征的病例,并回顾了相关文献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Hungry bone syndrome after parathyroidectomy of a minimally invasive parathyroid carcinoma.

The prognosis of parathyroid carcinoma varies significantly between numerous studies. Therefore, many attempts have been made to grade the degree of parathyroid carcinoma, and recently, classifying parathyroid carcinomas into either minimally invasive or widely invasive carcinoma- similar to follicular carcinoma of the thyroid- has led to a more reliable prediction of the prognosis. Hungry bone syndrome can occur if parathyroidectomy is performed due to primary hyperparathyroidism regardless of the cause of the disease. Hungry bone syndrome is characterized by postoperative a hypocalcemic state due to remineralization of various minerals, including calcium, of the bone; this syndrome requires a long-term supplementation of calcium. The authors aim to report, along with a review of related literatures, 1 case of a 29-year-old female patient diagnosed with minimally invasive parathyroid carcinoma who fell into hungry bone syndrome after parathyroidectomy.

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