Nakano M, Iwamuro S, Fujii H, Kondoh I
Department of Urology, Kanagawa Cancer Center Hospital.
Hinyokika Kiyo. 1988 Jun;34(6):1011-5.
A case of parathyroid carcinoma in a 49-year-old female is described. She is found to have renal stones and high serum calcium levels. On physical examination a fixed walnut-sized mass was detected on her right neck. Laboratory studies disclosed a serum calcium level of 12.7 mg/dl, serum phosphorus level of 2.5 mg/dl, serum Ca++ level of 3.12 mEq/l, and positive Gold-Smith test. Computer-assisted tomography scan and ultrasonogram showed a mass in the posterior region of the right lobe of her thyroid. The tumor was resected and histopathological examination showed parathyroid carcinoma. The patient had no evidence of recurrence 2 years following surgery. Our report is the 70th case among Japanese literature.
本文描述了一例49岁女性甲状旁腺癌病例。她被发现患有肾结石和高血钙水平。体格检查发现其右颈部有一个固定的核桃大小的肿块。实验室检查显示血清钙水平为12.7mg/dl，血清磷水平为2.5mg/dl，血清Ca++水平为3.12mEq/l，Gold-Smith试验呈阳性。计算机断层扫描和超声检查显示其甲状腺右叶后部有一个肿块。肿瘤被切除，组织病理学检查显示为甲状旁腺癌。术后2年，该患者无复发迹象。我们的报告是日本文献中的第70例病例。
