甲状旁腺癌是少见的内分泌腺癌,国内1986年以前仅报告13例,现将我院一例报告如下。熊××,女,29岁,住院号224554,因食欲减退,无力,消瘦及周身骨痛半年,逐渐加重并多饮,多尿3个月,于1979年3月31日小便时跌倒后不能站立,以“双股骨干病理性骨折,甲状旁腺机能亢进”入院。检查:右颈前扪及乒乓球大小硬块,随吞咽活动,淋巴结不大,两大腿中段肿胀,均有压痛及假关节活动。血钙4.9mmol/L,血磷1.7mmol/L;连续三天低钙低磷饮食后血钙4.3mmol/L,血磷1.5mmol/L;24小时尿量4800ml,其中尿钙26.7mmol/d,尿磷29.6mmol/d。X 线摄片见全身骨质脱钙,骨小梁呈网状改变,颅骨 Parathyroid carcinoma is a rare endocrine adenocarcinoma. In China, only 13 cases were reported before 1986, and one case in our hospital is reported below. Xiong × ×, female, 29 years old, hospital number 224554, suffered from loss of appetite, weakness, weight loss and bone pain for six months. He gradually became heavier and had more urine, had more urine for 3 months, and was unable to fall after urinating on March 31, 1979. Standing, he was admitted to the hospital with a “double-skeletal pathological fracture and hyperparathyroidism.” Examination: The right anterior malleolus and the size of the table tennis lumps, with the swallowing activity, lymph nodes are not large, the middle two thighs are swollen, all have tenderness and pseudo-joint activities. Blood calcium 4.9mmol/L, serum phosphorus 1.7mmol/L; blood calcium after 3 days of low calcium and low phosphorus diet 4.3mmol/L, blood phosphorus 1.5mmol/L; 24-hour urine output 4800ml, including urinary calcium 26.7mmol/d Urine phosphorus 29.6mmol/d. X-ray photographs show decalcification of whole body bone, trabecular meshwork changes, skull