ID 110422
Title Transcription
キョウクウキョウカ ニ セツジョ シタ ジュウカクナイ イショセイ フクコウジョウセン センシュ
Title Alternative
A case of ectopic mediastinal parathyroid adenoma using video-assisted thoracoscope
Author
Norimura, Shoko Thoracic and Breast Surgery, Takamatsu Red Cross Hospital
Kenzaki, Koichiro Thoracic and Breast Surgery, Takamatsu Red Cross Hospital
Kubo, Takako Thoracic and Breast Surgery, Takamatsu Red Cross Hospital
Morishita, Atushi Thoracic and Breast Surgery, Takamatsu Red Cross Hospital
Murazawa, Chisa Department of Thoracic, Breast and Endocrine Surgery, Kagawa University Faculty of Medicine
Hashimoto, Shinichiro Department of Thoracic, Breast and Endocrine Surgery, Kagawa University Faculty of Medicine
Tamaki, Masafumi Thoracic and Breast Surgery, Takamatsu Red Cross Hospital
Kontani, Keiichii Department of Thoracic, Breast and Endocrine Surgery, Kagawa University Faculty of Medicine
Miura, Kazumasa Thoracic and Breast Surgery, Takamatsu Red Cross Hospital
Keywords
mediastinal parathyroid adenoma
video-assisted thoracic surgery
hyperparathyroidism
hypercalcemia
Content Type
Journal Article
Description
A woman in her 60s who was diagnosed as having hypercalcemia and hyperparathyroidism was referred to our hospital. Serum calcium and intact parathyroid hormone levels were11.4mg/ ml and 107 pg/ml, respectively. Chest computed tomography revealed an enhanced mass measuring approximately1.5cm located in the anterior mediastinum. 99mTc-Methoxy-isobutylisonitrile scintigraphy demonstrated an anterior mediastinal mass. These findings suggested an ectopic parathyroid tumor located in the mediastinum. The patient underwent resection of the parathyroid tumor with video-assisted thoracic surgery(VATS). The operation time was 114 min. The postoperative day1(POD1)calcium level rapidly decreased to8.3mg/ml. The patient was discharged on POD5, and there have been no signs of recurrence 1 year after the surgery. Parathyroidectomy by VATS for ectopic mediastinal parathyroid tumors is advantageous because it is less invasive and more cosmetic. VATS may be used as a standard approach for ectopic mediastinal parathyroid tumors. We report the surgical treatment of a case of ectopic mediastinal parathyroid adenoma using video-assisted thoracoscope.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
73
Issue
1-2
Start Page
85
End Page
90
Sort Key
85
Published Date
2017-04-25
FullText File
language
jpn
TextVersion
Publisher