文献简介

出版社:

作  者:

编  号:

关键字:

年  份:2017   点击量:103

文献摘要 全文翻译

A man in his 60s presented with severe fatigue. His medical history was significant for primary hyperparathyroidism 6 years prior to presentation, for which the patient refused therapeutic management. The patient was cachectic and exhibited significant muscular weakness. Clinical examination revealed a large tumor on the distal part of the right fourth finger (Figure, A) that had gradually enlarged in recent months. Radiography revealed complete lysis of the underlying phalanx and periosteal bone resorption in the phalangeal tuft band.

患者60余岁,因严重疲劳感而就诊。就诊前6年,患者表现为原发性甲状旁腺功能亢进,但患者拒绝接受治疗。该患者恶病质,表现出明显的肌无力。临床检查发现右手无名指远端有一个大肿瘤(图A),近几个月逐渐增大。影像学检查显示,指骨簇带内的指骨完全溶解,骨膜骨吸收。