Excision of postesophageal parathyroid adenoma in posterior mediastinum with intraoperative 99mTechnetium sestamibi scanning.
Although approximately 25% of parathyroid tumors in patients with primary hyperparathyroidism are located in the mediastinum, nearly all these tumors can be removed through cervical exploration. However, 1% to 2% of the mediastinal tumors require a transthoracic approach for removal. The mediastinal tumors are usually located in the inferior parathyroid gland, and the ectopic mediastinal tumors derived from the superior glands are extremely rare. We present a case of retroesophageal mediastinal parathyroid adenoma that developed in the left superior parathyroid gland. A thoracotomy was required to remove this tumor. Radioisotope-guided surgery was effective at identifying the tumor.
Ogawa
Toshihisa
T
Department of Endocrine Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. e05021@h.u-tokyo.ac.jp
Tsuji
Ei-ichi
E
Kanauchi
Hajime
H
Yamada
Kazuhiko
K
Mimura
Yoshikazu
Y
Kaminishi
Michio
M
D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D002828:Choristoma / Q000601:surgery*; D004947:Esophagus; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D011877:Radionuclide Imaging; D017256:Technetium Tc 99m Sestamibi
D017256:Technetium Tc 99m Sestamibi