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本文报告作者自1968年至1992年收治的甲状旁腺肿瘤11例,其中腺瘤10例,囊肿1例,均经病理检查确诊,9例腺瘤发生甲状旁腺机能亢进(甲旁亢),1例腺瘤和囊肿者甲状旁腺机能正常,3例被误诊为骨肿瘤而手术,2例误诊为甲状腺肿瘤。全组均切除了甲状旁腺肿瘤。10例获随访,时间为1～24年,9例症状消失,1例于19年后症状再发。为提高对本病的认识,特结合文献进行讨论,强调根据临床表现、血化验和B超检查、X线所见作综合分析,可以减少误诊和误治。
This article reports 11 cases of parathyroid neoplasms treated by the author from 1968 to 1992, including 10 adenomas and 1 cyst. All of them were diagnosed by pathological examination. Hyperparathyroidism was observed in 9 cases of adenomas. One case of adenomas and cysts had normal parathyroid function, 3 cases were misdiagnosed as bone tumors and surgery, and 2 cases were misdiagnosed as thyroid tumors. Parathyroid tumors were removed from the whole group. Ten patients were followed up for 1 to 24 years. Symptoms disappeared in 9 cases and recurrence occurred in 1 case after 19 years. In order to improve the understanding of this disease, special discussion of the literature, to emphasize that based on clinical manifestations, blood tests and B-ultrasound, X-ray findings for comprehensive analysis can reduce misdiagnosis and mistreatment.