[ XXXX : report of a case].

@entity459 @entity8 @entity174 @entity5 @entity79 @entity1391 @entity4421 @entity460 @entity3 @entity3243 @entity3552
A case of @entity3243 is presented. A 46-year-old female was admitted to our hospital for @entity174 of both femurs on July 29, 1983. Laboratory data revealed a serum @entity460 level of 15.2 mg/dl, serum @entity1391 level of 1.2 mg/dl, serum immunoreactive parathyroid hormone 9.35 ng/ml (less than 0.5), and % tubular reabsorption of @entity1391 of 57%. X-ray examination showed marked @entity4421 fibrosa @entity3552 . The diagnosis of @entity459 was made. A hard @entity5 was palpable on the left anterior side of her neck. Neck exploration was carried out on August 10. The @entity5 was found to be localized in contact with the left lower lobe of the thyroid gland. @entity3243 was strongly suspected, because the @entity5 severely adhered to surrounding tissues, thus the @entity5 was resected en bloc. The histopathological diagnosis was typical @entity3243 . Postoperative course and the treatment of the @entity174 were uneventful, and she was discharged able to walk five months after the operation. No evidence of recurrence or @entity3 has been seen during the eighteen months since the operation. This is the 80th case in the Japanese literature to our knowledge and the clinical features of these 80 cases revealed an average age of 41.5 years old; male/female ratio of 32/48; average weight of @entity5 of 8.65 g, palpable neck mass in 72%, @entity79 in 64%, and @entity8 in 34%.
