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目的:总结甲状旁腺癌(PTC)误诊经验。方法:回顾分析6例PTC临床资料。结果:入院时误诊率为100%,曾误诊为风湿性关节炎4例次,骨质疏松3例次,病理性骨折2例次,转移性骨肿瘤2例次,肾结石3例次,前列腺癌1例次。3例术中冰冻病检误诊,2例报告为甲状旁腺瘤,1例为恶性淋巴瘤。结论:提高认识,检测血钙和血甲状旁腺素结合超声、CT、99mTc-MIBI检查可以降低PTC的误诊率。
Objective: To summarize the experience of misdiagnosis of parathyroid carcinoma (PTC). Methods: Retrospective analysis of 6 cases of PTC clinical data. Results: The rate of misdiagnosis on admission was 100%. Four cases had been misdiagnosed as rheumatoid arthritis, three cases of osteoporosis, two cases of pathological fracture, two cases of metastatic bone tumor, three cases of renal calculi, prostate 1 case of cancer. Three cases of intraoperative frozen disease misdiagnosis, two cases of parathyroid adenoma and one case of malignant lymphoma. Conclusion: Awareness, detection of serum calcium and parathyroid hormone combined with ultrasound, CT, 99mTc-MIBI examination can reduce the misdiagnosis rate of PTC.