Journal Article 胸腔鏡下に切除した縦隔内異所性副甲状腺腺腫
A case of ectopic mediastinal parathyroid adenoma using video-assisted thoracoscope
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

法村, 尚子  ,  監崎, 孝一郎  ,  久保, 尊子  ,  森下, 敦司  ,  村澤, 千沙  ,  橋本, 新一郎  ,  環, 正文  ,  紺谷, 桂一  ,  三浦, 一真

73 ( 1-2 )  , pp.85 - 90 , 2017-04-25 , 徳島医学会
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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