Extending Goiter Accompanied by Ectopic hyperparathyroidism

甲狀腺腫擴展伴隨功能亢進之異位甲狀旁腺

Ming-Ho Wu(吳明和) ； Han-Yun Wu(吳菡芸) ； Li-Hsun Chen(陳立珣)

《秀傳醫學雜誌》 預刊文章 Pp. 1-14

https://doi.org/10.30185/SCMJ.202212/PP.0019

摘要

A 51-year-old male patient had ectopic hyperparathyroidism and concomitant left goiter. The left goiter extended to the anterior and posterior mediastinum. These endocrine and anatomic conditions induced hypertension, headache, dyspnea, hypercalcemia, and ureteral stone. He also had bilateral huge hydroceles. Initially, the ectopic hyperparathyroidism was ignored that he underwent complete resection of the extending goiter via a partial sternotomy. Bilateral hydrocelectomies were also concomitantly performed. The initially neglected ectopic hyperparathyroidism was treated using thoracoscopic parathyroidectomy 10 months later. All symptoms were relieved and serum calcium was at a normal level following these surgeries and extracorporeal shock wave lithotripsy.

關鍵字

Goiter ； Intrathoracic extension ； Ectopic parathyroidism

並列摘要

一位51歲男性病人，患有左側甲狀腺腫，擴展至前縱隔腔和後縱隔腔。而後檢查到異位甲狀旁腺功能亢進症。以上這些內分泌和解剖異常，導致這病人高血壓、頭痛、呼吸困難、高血鈣症和輸尿管結石。他同時也有雙側陰囊水腫。最初，異位甲狀旁腺功能亢進被忽略了，他只接受部分胸骨切開術，完成擴展至胸內之甲狀腺腫的切除手術，以及雙側陰囊水腫手術。最初被忽略的異位甲狀旁腺也在10個月後，使用胸腔鏡完成切除手術。經過這兩次手術和一次體外衝擊波碎石術，他的上述症狀得到緩解，血鈣也恢復正常。

並列關鍵字

甲狀腺腫 ； 胸內擴展 ； 異位甲狀旁腺