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患者女,25岁。因颈前正中偏右肿块3年伴下肢活动障碍半年就诊。3年前患者发现颈前正中偏右一肿块,大小约20 mm×20 mm,无明显疼痛,无低热、盗汗。1年前肿块逐渐增大,半年前患者感双下肢无力并疼痛,行走困难。体检:双侧颈部不对称,颈前正中偏右一肿块,大小约50 mm×40 mm,实性,质偏硬,边界欠清楚,活动稍差。实验室检查:钙3.37 mmol/L、甲状旁腺激素>263pmol/L、降钙素0.17 ng/ml。超声检查(US):双肾多发结石。腰椎及胸部平片:胸廓及腰椎组成骨密度普遍减低。
Female patient, 25 years old. Because of the middle of the neck before the right mass 3 years with lower extremity activity disorder six months treatment. 3 years ago, the patient found the right anterior midline neck mass, about 20 mm × 20 mm in size, no obvious pain, no fever, night sweats. A year ago, the tumor gradually increased, six months ago, patients with both lower extremity weakness and pain, walking difficulties. Physical examination: bilateral cervical asymmetry, the middle of the neck before the right one mass, size of about 50 mm × 40 mm, solid, qualitative partial hard, the border is not clear, the activity is slightly worse. Laboratory tests: calcium 3.37 mmol / L, parathyroid hormone> 263 pmol / L, calcitonin 0.17 ng / ml. Ultrasonography (US): Multiple kidney stones. Lumbar and thoracic plain film: Thoracic and lumbar components generally reduce the bone density.