论文部分内容阅读
恶性肿瘤住院患者的血标本常可测出高钙血症,然而一般人血清钙升高最普通的原因则是原发性甲旁亢(HPT)。伴发恶性肿瘤的高血钙多数是病情发展的征象,并提示其骨骼已受累。因此应加强抗肿瘤治疗。由于原发性HPT是一常见病,故它可能与患恶性肿瘤病同时存在,甚至曾有报告指出HPT与恶性瘤之间具有相互关系,因而对两者的鉴别诊断是一个难题。单纯确定PTH与血钙浓度是有价值的,但有时候并不能确认或除外,因健康人、HPT病人以及其它引起高钙血症,他们的试验数据常可彼此重叠。
Hypercalcaemia can often be detected in blood samples from hospitalized patients with malignant tumors, but the most common cause of elevated serum calcium in humans is primary hyperparathyroidism (HPT). The majority of hypercalcemic patients with malignant tumors are signs of disease progression and suggest that their bones have been involved. Therefore, anti-tumor therapy should be strengthened. Because primary HPT is a common disease, it may be associated with malignant neoplasia. Even some reports have reported that HPT has a relationship with malignant neoplasms. Therefore, the differential diagnosis between the two is a difficult problem. Purely determining PTH and serum calcium concentrations is valuable, but sometimes not validated or excluded, and their experimental data can often overlap with each other in healthy people, HPT patients, and other hypercalcaemia.