Three cases of parathyroid crisis and a literature review
10.3760/cma.j.issn.1671-7368.2014.07.022
- VernacularTitle:甲状旁腺危象三例报道并文献复习
- Author:
Lulu SONG
;
Jinping ZHANG
;
Xiaoyan XING
- Publication Type:Journal Article
- Keywords:
Parathyroid crisis;
Hyperparathyroidism,primary
- From:
Chinese Journal of General Practitioners
2014;13(7):592-594
- CountryChina
- Language:Chinese
-
Abstract:
To explore the clinicopathological characteristics of parathyroid crisis.The data of 3 cases from our hospital and 125 cases reported domestically were retrospectively analyzed.All 3 cases were male.And their disease course was 3 months to 10 years.The serum calcium ranged from 3.72 to 5.19 mmol/l.Among 177 retrieved cases,125 had complete basic data.The male/female ratio was 1∶ 1.17,average age (46 ± 14) (15-75) years and average serum calcium (4.30 ± 0.58) (3.75-7.28) mmol/L.There was no difference between genders or benign and malignant pathological types.Among 117 eases with pathological diagnosis,the most common type was adenoma (74.4%).The ratio of parathyroid carcinoma was higher in males than that in females (33.3% vs.11.7%).Misdiagnosis rate was 25.0% upon initial presentations.Case fatality rate stood at 9.4% (17/180) and half of them died preoperatively.