透析患者に発症した縦隔内異所性副甲状腺腺腫による原発性副甲状腺機能こう進症の一例

書誌事項

タイトル別名
  • A case of primary hyperparathyroidism due to a mediastinal parathyroid adenoma accompanied by chronic renal failure

この論文をさがす

抄録

Most hyperparathyroidism with chronic renal failure is secondary, and mediastinal parathyroid tumors are relatively rare (approximately 2%). We report a case of primary hyperparathyroidism due to a mediastinal parathyroid adenoma accompanied by chronic renal failure.<BR>A 42-year-old man had been undergoing dialysis therapy, was admitted to our hospital with high serum Ca, P and intact-PTH. Chest CT and MRI showed a mass measuring 3 cm in diameter in the anterior mediastinum, and 99mTc-MIBI scintigram demonstrated abnormal radioactivity accumulation in the anterior mediastinum. CT and ultrasonography of the neck revealed no abnormal findings. From the results of the above examinations, hypercalcemia resulted from primary hyperparathyroidism due to a mediastinal parathyroid adenoma. The mediastinal tumor was resected in thoracoscopic surgery. Histologically, it was diagnosed as a parathyroid adenoma.<BR>In hypercalcemia with renal failure, it is important to check for primary hyperparathyroidism.

収録刊行物

被引用文献 (1)*注記

もっと見る

参考文献 (14)*注記

もっと見る

詳細情報

問題の指摘

ページトップへ