Surgical treatment of mediastinal parathyroid adenoma.
Ectopic parathyroid adenoma is a frequent cause of persistent or recurrent hyperparathyroidism after parathyroidectomy in patients with chronic renal failure on dialysis. An unusual anatomic localization of parathyroid adenoma may make the diagnosis and surgery difficult. In a 41-year-old woman with chronic renal failure, increased serum level of parathyroid hormone and symptoms of progressive renal osteodystrophy, mediastinal parathyroid adenoma was detected in the aorticopulmonary window by 99m Tc sesta MIBI scintigraphy and transmission computed tomography. Extirpation of adenoma, sized 3 x 2 cm, was performed through a left thoracotomy. Serum parathormone level returned to normal and the patient steadily recovered.
Maraković
Jurica
J
Division of Cardiac Surgery, Department of Surgery, Division of Anesthesiology and Intensive Care of Cardiac Surgery, Dubrava University Hospital, Avenija Gojka Suska 6, 10000 Zagreb, Croatia.
Biocina
Bojan
B
Sutlić
Zeljko
Z
Rudez
Igor
I
Kolovrat
Marijan
M
Barić
Davor
D
Husedzinović
Ino
I
Rupcić
Vesna
V
D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D002828:Choristoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology; D008477:Mediastinal Diseases / Q000601:surgery*; D010280:Parathyroid Glands / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*