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  • Title: [Thoracoscopic resection of mediastinal parathyroid adenoma with cyst and hyperparathyroidism--a case report].
    Author: Shimizu M, Akamatsu H, Yoshizaki T, Tanaka H, Sakamoto T, Sunamori M.
    Journal: Nihon Kyobu Geka Gakkai Zasshi; 1997 Dec; 45(12):1972-5. PubMed ID: 9455109.
    Abstract:
    A 51-year-old woman was admitted because of general fatigue assumed to be due to climacteric disturbance. Laboratory examinations suggested a diagnosis of hyperparathyroidism based on high serum levels of Ca, intact PTH, and high-sensitivity PTH. No abnormalities were found in the cervix. Chest X-ray films and CT scans showed a mass measuring 4 cm in the right postero-upper mediastinum. The tumor was positive on a parathyroid scintigram, and was diagnosed as a mediastinal parathyroid adenoma with hyperparathyroidism. Operative findings showed a tumor surrounded by the superior vena cava, vagus nerve, azygos vein, and brachiocephalic artery. Careful resection of the hypervascular tumor from surrounding tissues was performed using a thoracoscopic technique alone. The postoperative course was uneventful. Serum values of Ca, intact PTH, and high-sensitivity PTH decreased to within normal ranges. after surgery. Pathohistological study confirmed the diagnosis of parathyroid adenoma including a cyst caused by degeneration of the tumor.
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