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| 甲状旁腺功能亢进症致多发棕色瘤诊治经验探讨 |
| Discussion on the diagnosis and treatment of multiple brown tumor caused by hyperparathyroidism |
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| DOI：10.3969/j.issn.1006-7108.2020.01.018 |
| 中文关键词: 棕色瘤 甲状旁腺功能亢进症 骨质疏松 唑来膦酸 |
| 英文关键词:brown tumor hyperparathyroidism osteoporosis zoledronic acid |
| 基金项目:四川大学华西第四医院院内基金（2011-005） |
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| 中文摘要: |
| 骨质疏松患者合并高血钙、低血磷时应注意鉴别甲状旁腺功能亢进症，当甲状旁腺功能亢进症合并骨破坏病例应警惕棕色瘤，棕色瘤临床上易与骨转移瘤、骨巨细胞瘤混淆。棕色瘤早期以保守治疗为主，后期可考虑手术治疗，不能手术患者建议双膦酸盐治疗，但尚需更多证据支持。 |
| 英文摘要: |
| Patients with osteoporosis combined with high serum calcium and low serum phosphorus should be paid attention to distinguish with hyperparathyroidism. Patients with hyperparathyroidism combined with bone damage should be alert to the diagnosis of brown tumor. Brown tumor is used to be confused with bone metastasis tumor and bone giant cell tumor in clinical practice. Conservative treatment is the main treatment for brown tumor in the early stage, and surgical treatment can be considered in the later stage. Bisphosphonate treatment is recommended for patients who cannot undergo surgery. However, more evidence is needed. |
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