巨大甲状旁腺腺瘤致甲状旁腺功能亢进临床罕见,吉林大学第一医院近期收治1例病人。现报告如下。1病历简介病人女,因体检发现甲状腺肿物1年于2013-12-06入院。病程中偶有心慌、气短、乏力,无声音嘶哑及饮水呛咳。查体:甲状腺右叶肿物,大小约4cm×2cm,质软,移动度尚可,随吞咽上下活动。辅助检查:碱性磷酸酶469 U/L,钙2.87 mmol/L,无机磷0.46 mmol/L,术前外周血甲状旁腺素(PTH)625.4 ng/L,甲状腺功能正常。颈部彩超:甲状腺右叶肿物回声,大小约56mm×24mm,肿物边界尚清,形状 A huge parathyroid adenoma hyperparathyroidism clinically rare, the First Hospital of Jilin University recently admitted to a patient. The report is as follows. 1 medical records Female patients, because of physical examination found thyroid tumor in 2013-12-06 admission. Occasional palpitation in the course of the disease, shortness of breath, fatigue, no hoarse voice and drinking cough. Examination: right lobe of thyroid tumor, the size of about 4cm × 2cm, soft, mobility is acceptable, with swallowing up and down activities. Assisted examination: alkaline phosphatase 469 U / L, calcium 2.87 mmol / L, inorganic phosphorus 0.46 mmol / L, preoperative parathyroid hormone (PTH) 625.4 ng / L, thyroid function is normal. Neck ultrasound: eyelid right lobe tumor echo, the size of about 56mm × 24mm, the tumor boundary is clear, the shape