Barrios J A, Robledo M C, Contreras F, Alvarez-Cienfuegos J, Voltas J
Departamento de Cirugía General y Digestiva, Facultad de Medicina, Universidad de Navarra, Pamplona.
Rev Med Univ Navarra. 1990 Jul-Sep;34(3):163-5.
We describe three cases of women who developed symptoms of primary hyperparathyroidism originated by a parathyroid functional tumor. Ostoporosis, arterial hypertension and nefrolitiasis were the most frequent antecedents. The PTH and calcium levels in bood and urine were elevated. The CT and ultrasound confirmed the diagnosis of parathyroid tumor, which was identified histopathology as oxifilic adenoma. All patients underwent surgical treatment. We consider these cases of clinical interest because this kind of adenoma hardly ever produces hyperparathyroidism.
我们描述了三例因甲状旁腺功能性肿瘤而出现原发性甲状旁腺功能亢进症状的女性病例。骨质疏松、动脉高血压和肾结石是最常见的既往病史。血液和尿液中的甲状旁腺激素(PTH)和钙水平升高。CT和超声检查确诊为甲状旁腺肿瘤,经组织病理学鉴定为嗜酸细胞腺瘤。所有患者均接受了手术治疗。我们认为这些病例具有临床意义,因为这种腺瘤很少引起甲状旁腺功能亢进。