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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Video Assisted Thoracoscopic Surgery (VATS) for Excision of an Ectopic Anterior Mediastinal Intra-Thymic Parathyroid Adenoma
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Video Assisted Thoracoscopic Surgery (VATS) for Excision of an Ectopic Anterior Mediastinal Intra-Thymic Parathyroid Adenoma

机译:电视胸腔镜手术(VATS)用于切除异位前纵隔胸腺内甲状旁腺腺瘤

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Ectopic anterior mediastinal parathyroid adenoma is a rare cause of Primary Hyperparathyroidism (PHPT). Imaging studies such as Technetium-99m (99mTc) sestamibi parathyroid scan along with a Single Photon Emission Computerized Tomogram (SPECT), and contrast enhanced Computerized Tomogram (CT) of the neck and thorax can precisely localize the ectopic mediastinal parathyroid adenoma. We report a 40-year-old gentleman who presented with persistent pain in the right shoulder following trivial trauma. His biochemical investigations showed an elevated serum calcium of 11.6mg% (Normal: 8.3-10.4 mg%) along with an elevated iPTH of 1443 pg/ml (normal: 8-70 pg/ml) which were suggestive of primary hyperparathyroidism. The localization studies revealed an ectopic cystic parathyroid adenoma in the anterior mediastinum that was not accessible from the neck. He underwent a Video Assisted Thoracoscopic (VAT) excision procedure with normalization of serum calcium and an uncomplicated recovery. The VAT approach is a successful minimally invasive technique for mediastinal parathyroidectomy.
机译:异位前纵隔甲状旁腺腺瘤是原发性甲状旁腺功能亢进症(PHPT)的罕见原因。影像学研究,例如Technetium-99m(99mTc)司他他比甲状旁腺扫描,以及单光子发射计算机断层扫描(SPECT)和对比增强的颈部和胸部计算机断层扫描(CT),可以精确地定位异位纵隔甲状旁腺腺瘤。我们报告了一位40岁的绅士,他在琐碎的创伤后右肩持续出现疼痛。他的生化研究表明,血清钙升高了11.6mg%(正常值:8.3-10.4 mg%),iPTH升高到了1443 pg / ml(正常值:8-70 pg / ml),提示原发性甲状旁腺功能亢进症。本地化研究发现前纵隔存在异位性囊性甲状旁腺腺瘤,颈部无法进入。他接受了视频辅助胸腔镜(VAT)切除手术,使血清钙正常化,恢复过程不复杂。增值税方法是一种成功的纵隔甲状旁腺切除术的微创技术。

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