| 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
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| Title Alternative | A case of ectopic mediastinal parathyroid adenoma using video-assisted thoracoscope
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| 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
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| Keywords | mediastinal parathyroid adenoma
video-assisted thoracic surgery
hyperparathyroidism
hypercalcemia
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| Content Type |
Journal Article
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| 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.
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| Journal Title |
四国医学雑誌
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| ISSN | 00373699
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| NCID | AN00102041
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| Publisher | 徳島医学会
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| Volume | 73
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| Issue | 1-2
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| Start Page | 85
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| End Page | 90
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| Sort Key | 85
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| Published Date | 2017-04-25
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| FullText File | |
| language |
jpn
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| TextVersion |
Publisher
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