Abstract
Most parathyroid adenomas cause primary hyperparathyroidism with various clinical manifestations besides hypercalcemia, such as urolithiasis, pathological bones, peptic ulcer, etc. onsequently, they are usually found when still small. A 70-year-old female was admitted with dyspnea due to airway obstruction by tracheal compression and a cervical tumor. Biopsy after tracheostomy revealed probable benign parathyroid tumor. The tumor was removed. It weighed 98 grams and was a nonfunctioning oxyphil cell adenoma. A parathyroid adenoma of this size has rarely been reported in the world literature. The diagnosis and management are discussed, and the literature is reviewed.
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