Abstract

报道1例51岁女性患者,以阵发性头痛、心悸、大汗1年,腰背胀痛2周入院。检测血浆游离甲氧基肾上腺素、游离甲氧基去甲肾上腺素、降钙素明显升高;先后行双侧肾上腺占位及甲状腺结节手术,术后组织病理学诊断分别为嗜铬细胞瘤及甲状腺髓样癌,基因检测示RET基因11号外显子634密码子处基因点突变,考虑为多发性内分泌腺肿瘤综合征2A型。患者存在1型糖尿病及自身免疫性甲状腺炎,考虑为自身免疫性多内分泌腺病综合征Ⅲ型。.

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