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目的:探讨分析原发甲状旁腺功能亢进症合并甲状腺乳头状癌的诊治情况。方法:回顾性分析2006年1月-2013年12月开远市人民医院收治的3例原发甲状旁腺功能亢进症合并甲状腺乳头状癌患者的病历资料,并结合相关文献加以总结。结果:3例患者入院时血钙浓度2.7~3.1 mmol/L,血清甲状旁腺素浓度146~207 pg/m L,甲状旁腺B超提示可见甲状旁腺增大,甲氧基异丁基异腈(MIBI)显像均为阳性。结论:原发甲旁亢合并甲状腺乳头状癌临床上比较少见,相关的资料报道也不全面,因此,临床诊治中需要在术前对甲状腺结节进行综合评估,并在术中对甲状腺进行彻底探查,只有这样才能全面了解患者的病情,避免漏诊、误诊情况的发生。
Objective: To investigate the diagnosis and treatment of primary hyperparathyroidism complicated with papillary thyroid carcinoma. Methods: The clinical data of 3 patients with primary hyperparathyroidism complicated with papillary thyroid carcinoma admitted to the People’s Hospital of Kaiyuan City from January 2006 to December 2013 were retrospectively analyzed, and were summarized with relevant literatures. Results: Serum calcium concentration of 2.7-3.1 mmol / L, serum parathyroid hormone concentration of 146-207 pg / mL in admission of 3 patients, hyperparathyroidism of parathyroid hyperplasia, methoxyisobutyl isonitrile (MIBI) imaging were positive. Conclusions: Primary hyperparathyroidism with papillary thyroid carcinoma is relatively rare, and the related data are not comprehensively reported. Therefore, it is necessary to conduct a comprehensive evaluation of the thyroid nodules in the clinic before surgery and complete the thyroid during operation Exploration, the only way to fully understand the patient’s condition, to avoid missed diagnosis, misdiagnosis of the situation.