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甲状旁腺腺瘤合并甲状腺残余甲状腺肿的临诊应对
引用本文:王保平,孟召伟,朱梅,张杰,田伟军,邱明才.甲状旁腺腺瘤合并甲状腺残余甲状腺肿的临诊应对[J].中华内分泌代谢杂志,2011,27(12).
作者姓名:王保平  孟召伟  朱梅  张杰  田伟军  邱明才
作者单位:1. 天津医科大学总医院内分泌科,300052
2. 天津医科大学总医院核医学科,300052
3. 天津医科大学总医院影像科,300052
4. 天津医科大学总医院普外科,300052
基金项目:国家自然科学基金资助项目
摘    要:甲状旁腺腺瘤是原发性甲状旁腺功能亢进症的常见原因之一,常与结节性甲状腺肿同时发生.甲状腺胸腺区甲状腺残余为异位甲状腺的一种,根据与颈部甲状腺的解剖关系分为四级.甲状腺胸腺区甲状腺残余亦可发生结节性甲状腺肿,并与甲状旁腺组织难以区分.本文详细介绍一例甲状旁腺腺瘤合并甲状腺胸腺区甲状腺残余结节性甲状腺肿的诊治,旨在提醒临床医生重视甲状腺胸腺区异位甲状腺组织的病变.

关 键 词:甲状旁腺腺瘤  甲状腺胸腺区  甲状腺残余  结节性甲状腺肿

Approach to the patient with parathyroid adenoma and thyroid remnant goiter
WANG Bao-ping,MENG Zhao-wei,ZHU Mei,ZHANG Jie,TIAN Wei-jun,QIU Ming-cai.Approach to the patient with parathyroid adenoma and thyroid remnant goiter[J].Chinese Journal of Endocrinology and Metabolism,2011,27(12).
Authors:WANG Bao-ping  MENG Zhao-wei  ZHU Mei  ZHANG Jie  TIAN Wei-jun  QIU Ming-cai
Abstract:Parathyroid adenoma is the main cause of primary hyperparathyroidism and often associated with thyroid nodular goiter.Thyrothymic thyroid rest belong to the ectopic thyroids which are classified into 4 grades according to the state of their connection with the proper neck thyroid gland.Thyrothymic thyroid remnant can also develop into nodular goiter and may be difficult to be distinguished from parathyroid adenoma.We present herewith the diagnosis and treatment of a rare case of parathyroid adenoma accompanied by thyrothymic thyroid remnant nodular goiter in order to remind clinicians of the attention to the thyrothymic thyroid remnant disease.
Keywords:Parathyroid adenoma  Thyrothymic area  Thyroid remnant  Nodular goiter
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