Ribot C, Dutau G, Manelfe C, Bouissou H, Rochiccioli P
Arch Fr Pediatr. 1977 Feb;34(2):171-8.
A parathyroid adenoma is reported in a girl aged 12 years in whom hypercalcaemia was discovered by chance. Investigation of calcium metabolism suggested the diagnosis of hyperparathyroidism and studies of the urinary cyclic AMP and determination of the plasma parathyroid hormone concentration further added to the evidence. The diagnosis of parathyroid adenoma was made after determination of the parathyroid hormone concentration at various sights during selective catheterization of the tyroid veins. This was confirmed at surgery. In this patient the place of catheterization of the inferior thyroid veins in the early diagnosis of primary hyperparathyroidism is discussed.
据报道，一名12岁女孩患有甲状旁腺腺瘤，其高钙血症是偶然发现的。钙代谢调查提示甲状旁腺功能亢进的诊断，尿中环磷酸腺苷的研究以及血浆甲状旁腺激素浓度的测定进一步提供了证据。在选择性甲状腺静脉插管期间，通过在不同部位测定甲状旁腺激素浓度后诊断为甲状旁腺腺瘤。手术证实了这一诊断。本文讨论了甲状腺下静脉插管在原发性甲状旁腺功能亢进早期诊断中的作用。
