胸腔鏡下に摘出した上縦隔機能性副甲状腺嚢腫の１例

• 三島 修

  恵み野病院外科

• 深井 原

  恵み野病院外科

• 横田 良一

  恵み野病院外科

書誌事項

タイトル別名

• A case of functioning parathyroid adenoma with cyst in the upper mediastinum resected by thoracoscopic surgery.

抄録

A 50-year-old man was admitted to our hospital with abdominal pain due to urinary stone. High serum levels of Ca, intact PTH, and high-sensitivity PTH suggested hyper-parathyroidism. ^99mTc-MIBI scintigram showed abnormal uptake in the upper mediastinum. CT with contrast enhancement and MRI showed a cystic mass measuring 3 cm. The diagnosis of functioning parathyroid ade-noma with cyst at upper mediastinum was made. Careful resection of the mediastinal tumor from the surrounding tissues was performed using a thoracoscopic technique alone. The postoperative course was uneventful. Serum Ca, intact PTH, and high-sensitivity PTH values were all normal following the surgery. Pathological study of the tumor confirmed the diagnosis of mediastinal intrathymic parathyroid adenoma with cyst. ^99mTc-MIBI scintigram is a quite useful examination for localization of a functioning parathyroid adenoma. Because the frequency of malignancy in mediastinal parathyroid cysts is so low, thoracoscopic resection is an adequate procedure for the curative treatment.

収録刊行物

• 日本呼吸器外科学会雑誌

  日本呼吸器外科学会雑誌 17 (4), 505-510, 2003

  特定非営利活動法人 日本呼吸器外科学会

キーワード

• 縦隔腫瘍
• 副甲状腺嚢腫
• 機能性腫瘍
• 上皮小体ホルモン
• 胸腔鏡下手術

詳細情報

• CRID: 1390001204360700160
• NII論文ID: 110001272232
• NII書誌ID: AN10467885
• DOI: 10.2995/jacsurg.17.505
• ISSN: 18814158
• ISSN: 09190945
• ISSN: http://id.crossref.org/issn/09190945
• Web Site: https://search.jamas.or.jp/link/ui/2003303794
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可