患者,女,41岁,因右颈部肿物来我科就诊。过去曾因抑郁、焦虑、逆行性健忘、嗜睡、易疲乏、厌食、便秘、关节疼痛等症状4年余,且糖尿病、关节炎、2次病理性骨折于当地多家医院就诊。颈部CT增强(图1)示:右颈部占位性病变,考虑来源甲状旁腺可能性大;颈椎骨质增生(退行性变)。胸部CT显示:骨质疏松。血钙3.25 mmol/L,血磷 Patients, female, 41 years old, because of right neck mass to our department. Past due to depression, anxiety, retrograde forgetfulness, lethargy, fatigue, anorexia, constipation, joint pain and other symptoms more than 4 years, and diabetes, arthritis, two pathological fractures in a number of local hospitals. Neck CT enhancement (Figure 1) shows: the right neck lesions occupy, the possibility of considering the source of parathyroid; cervical hyperostosis (degeneration). Chest CT showed: osteoporosis. Blood calcium 3.25 mmol / L, phosphorus