Fahey T J, Hibbert E, Brady P, Stiel J, Delbridge L
Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Aust N Z J Surg. 1995 Apr;65(4):292-4. doi: 10.1111/j.1445-2197.1995.tb00634.x.
The largest documented case of a double parathyroid adenoma is reported. The patient presented in hypercalcaemic crisis with a large intrathoracic mass. After removal of a massive cystic parathyroid adenoma from the right superior mediastinum, a second very large parathyroid adenoma was found on the contralateral side adjacent to the left thyroid lobe. This case illustrates the importance of the cervical approach, as well as routine bilateral neck exploration, for all cases of primary hyperparathyroidism.
报道了有记录以来最大的双发性甲状旁腺腺瘤病例。该患者因高钙血症危象就诊，伴有一个巨大的胸内肿块。从右上纵隔切除一个巨大的囊性甲状旁腺腺瘤后，在对侧左甲状腺叶附近又发现了第二个非常大的甲状旁腺腺瘤。该病例说明了对于所有原发性甲状旁腺功能亢进病例，颈部入路以及常规双侧颈部探查的重要性。
