Warter J, Sibilly A, Hertz S, Geisler F, Jeanmaire H
Ann Med Interne (Paris). 1975 Jun-Jul;126(6-7):429-35.
The authors report the case of a man aged 59 years, with primary hyperparathyroidism; removal of a first adenoma, did not lead to recovery. Later, an egg-shell calcification was found together with a second large cervico-mediastinal parathyroid adenoma, the removal of which caused all the symptoms to disappear. After a review of other cases in the world literature with calcification of the parathyroid glands, the authors consider, before using more complicated techniques for preoperative localisation of parathyroid adenomas, one should carry out careful radiological examination of the cervical and mediastinal region. Under these conditions, one may detect significant calcifications which have escaped routine examination and may contribute to the topographic diagnosis of the parathyroid lesion sought.
作者报告了一例59岁男性原发性甲状旁腺功能亢进症患者的病例；切除首个腺瘤后并未康复。后来，发现蛋壳样钙化，同时伴有第二个巨大的颈纵隔甲状旁腺腺瘤，切除该腺瘤后所有症状消失。在回顾世界文献中其他甲状旁腺钙化病例后，作者认为，在采用更复杂的甲状旁腺腺瘤术前定位技术之前，应仔细对颈部和纵隔区域进行放射学检查。在这种情况下，可能会检测到常规检查遗漏的明显钙化，这可能有助于对所寻找的甲状旁腺病变进行定位诊断。
