지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.3
- 수록면
- 19 - 24 (6page)
- DOI
- 10.16956/jes.2024.24.1.19
이용수
초록· 키워드
오류제보하기
This case report details the medical history of a 60-year-old male with end-stage renal disease undergoing hemodialysis. The patient was referred for an assessment of thyroid nodules. Ultrasound revealed probably benign nodules of 2.6 cm and 1.4 cm in the right and left thyroid poles, respectively. The right thyroid nodule was confirmed as a Hurthle cell neoplasm through a core needle biopsy. Laboratory tests indicated elevated serum parathyroid hormone (PTH) and calcium levels, suggesting secondary hyperparathyroidism.
Subsequent evaluations, including a parathyroid scan and single photon emission computed tomography-computed tomography, identified probable parathyroid adenomas displaying increased radiotracer uptake. Moreover, delayed images revealed heightened uptake in two intrathyroidal nodules detected during recent ultrasonography. Intraoperative PTH measurements exhibited a significant 66.5% decline following the resection of the right thyroid. While frozen sections of the right thyroid indicated Hurthle cell proliferative lesions, the final histopathological examination unveiled nodular parathyroid hyperplasia. This case underscores the challenges in distinguishing between thyroid and parathyroid pathologies and underscores the importance of comprehensive assessments in managing such cases.
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