TY -的A2 Pambuccian Stefan AU -斯托尔,m . AU - Nebiker c . A . AU - Remonda l . AU - Grobholz r . PY - 2019 DA - 2019/07/04 TI -冠心病和附带甲状旁腺癌SP - 7159395六世- 2019 AB - 71岁女性因心绞痛。住院期间，她发生了心肌梗死(NSTEMI)。化验结果显示肌钙蛋白轻度升高，钙水平升高(3.35 mmol/l)。随后出现磷酸(0.36 mmol/l[正常值0.81-1.62 mmol/l])下降，血清甲状旁腺激素(PTH, 1156 ng/l[正常值10-73 ng/l])升高16倍，提示原发性甲状旁腺功能亢进。超声检查发现甲状腺结节，边界不清楚(TIRADS 5)。FNA显示单一的，部分卵泡细胞群，免疫组化对PTH阳性。MRI显示甲状腺右尾极有一个5cm大肿瘤，压迫背外侧气管，无浸润。行手术切除，右侧甲状旁腺整体切除。术后PTH水平降至12.1 ng/l。病理检查显示一个5cm肿瘤浸润甲状腺及神经浸润。症状前甲状旁腺癌的诊断是可以确定的。 The affirmative histopathological diagnosis of a parathyroid carcinoma can be challenging and is limited to tumors with evidence of invasive growth in adjacent structures such as the thyroid and/or soft tissue, perineural spaces, angioinvasion of capsular and/or extracapsular vessels, and/or documented metastases. SN - 2090-6781 UR - https://doi.org/10.1155/2019/7159395 DO - 10.1155/2019/7159395 JF - Case Reports in Pathology PB - Hindawi KW - ER -