A Functional Parathyroid Cyst from the Hemorrhagic Degeneration of a Parathyroid Adenoma

被引：7

作者：

Uehara, Atsuko ^{[1
]}

Suzuki, Tomo ^{[1
,2
]}

Yamamoto, Yutaro ^{[3
]}

Hasegawa, Masataka ^{[1
]}

Koitabashi, Kenichiro ^{[1
]}

Yazawa, Masahiko ^{[1
]}

Koike, Junki ^{[4
]}

Shibagaki, Yugo ^{[1
]}

机构：

[1] St Marianna Univ, Sch Med, Dept Internal Med, Div Nephrol & Hypertens, Kawasaki, Kanagawa, Japan

[2] Kameda Med Ctr, Dept Nephrol, Kamogawa, Japan

[3] St Marianna Univ, Sch Med, Dept Internal Med, Div Metab & Endocrinol, Kawasaki, Kanagawa, Japan

[4] St Marianna Univ, Sch Med, Dept Pathol, Kawasaki, Kanagawa, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 03期

关键词：

hypercalcemia; primary hyperparathyroidism; acute kidney injury; functional parathyroid cyst; SERUM-CALCIUM; RARE CAUSE;

D O I：

10.2169/internalmedicine.3319-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 77-year-old man with a history of hypertension, prostate hyperplasia, and urolithiasis was admitted for acute kidney injury caused by hypercalcemia. Neck ultrasonography showed a large cyst adjacent to the right lower thyroid lobe. Although a (99m)technetium sestamibi scan was negative, an extremely high intracystic intact parathyroid hormone level suggested that the cyst had a parathyroid origin and that a functional parathyroid cyst was present. Immunohistochemical staining for the calcium-sensing receptor (CaSR) after right lower parathyroidectomy revealed CaSR-positive cells lining the cyst, indicating that the functional parathyroid cyst had originated from the hemorrhagic degeneration of a parathyroid adenoma.

引用

页码：389 / 394

页数：6

共 50 条

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