中国全科医学 ›› 2018, Vol. 21 ›› Issue (13): 1629-1632.DOI: 10.3969/j.issn.1007-9572.2018.13.024

• 专题研究 • 上一篇    下一篇

肿瘤性低磷骨软化症一例报道并文献复习

魏伟平,刘海蔚*,全会标,张玉海,陈道雄,陈开宁   

  1. 570311海南省海口市,海南省人民医院内分泌科
    *通信作者:刘海蔚,主任医师;E-mail:meimei0085@sina.com
  • 出版日期:2018-05-05 发布日期:2018-05-05

Clinical Characteristics Analysis of Tumor-induced Osteomalacia:a Case Report and Literature Review 

  1. Department of Endocrinology,Hainan General Hospital,Haikou 570311,China
    *Corresponding author:LIU Hai-wei,Chief physician;E-mail:meimei0085@sina.com
  • Published:2018-05-05 Online:2018-05-05

摘要: 肿瘤性低磷骨软化症(TIO)是临床上一种罕见的伴瘤综合征,由肿瘤导致肾脏排磷增加,造成的获得性低血磷骨软化症。TIO起病隐匿,临床误诊率较高,但仍具有典型的临床特点,如肌无力、进行性骨痛、身高变矮等。临床中应提高对该病的认识,早期诊断,明确肿瘤位置,手术切除一般可达到较好的治疗效果。对于疑似TIO患者,仔细的体格检查,并结合实验室检查、影像学检查等手段对肿瘤的发现和定位具有重要意义。本文回顾性报道了被诊断为TIO且得到成功诊治的患者1例,并对相关文献进行了复习,以提高临床医生对本病的认识,为临床工作提供借鉴。

关键词: 骨软化症, 脂肪瘤, 低磷血症

Abstract: Tumor-induced osteomalacia(TIO) is a rare paraneoplastic syndrome in the clinic setting.TIO is caused by excessive phosphorus excretion induced by the tumor,and is thus categorized as an acquired hypophosphatemic osteomalacia.TIO has an occult onset and is associated with a high rate of misdiagnosis,although TIO has some typical clinical features,such as amyosthenia,progressive ostealgia,and loss of height.Practitioners should have increased awareness of TIO.Early diagnosis,correctly positioning of the tumor,and surgical resection can achieve good outcomes.For those patients suspected to have TIO,a thorough physical examination combined with laboratory testing and imaging are sufficient for the detection and positioning of the tumor.We report herein a patient who was diagnosed with TIO and successfully treated.The relevant literature is reviewed to improve the knowledge of the disease and provide reference for clinical work.

Key words: Osteomalacia, Lipoma, Hypophosphatemia