Localization and management of mediastinal parathyroid adenoma – a case report

IMC Journal of Medical Science Pub Date : 2022-04-03 DOI:10.55010/imcjms.16.013

N. Sultana, Amrit Rijal, Hurjahan Banu, S. Jahan, M. Fariduddin, B. P. Dey, M. Hasanat

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Abstract

Ectopic parathyroid adenoma sometimes poses diagnostic challenge and can be a cause of persistent and recurrent primary hyperparathyroidism. Anterior mediastinum is one of the locations for ectopic parathyroid adenoma. Surgical excision is the only cure and for successful surgery, pre-operative localization is crucial. Chance of failed surgery is being increased without prior localization of the ectopic gland. The combination of single photon emission computed tomography (SPECT) and computed tomography (CT) has got high sensitivity for accurate localization of ectopic parathyroid. On the other hand, with accurate localization surgical outcome is excellent. Here we report, successful localization and management of a case of primary hyperparathyroidism due to adenoma in anterior mediastinum in 47-year-old man. IMC J Med Sci 2022; 16(2): 003. DOI: https://doi.org/10.55010/imcjms.16.013 *Correspondence: Dr. Nusrat Sultana, Room no-1620, Block-D, 15th floor, Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Email: nusrat_sultana@bsmmu.edu.bd

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纵隔甲状旁腺瘤的定位与治疗1例

异位甲状旁腺腺瘤有时提出诊断挑战，并可引起持续和复发的原发性甲状旁腺功能亢进。前纵隔是异位甲状旁腺瘤的发病部位之一。手术切除是唯一的治疗方法，手术成功，术前定位是至关重要的。如果没有事先定位异位腺，手术失败的机会就会增加。单光子发射计算机断层扫描(SPECT)与计算机断层扫描(CT)相结合对异位甲状旁腺的精确定位具有很高的灵敏度。另一方面，由于定位准确，手术效果很好。我们在此报告一例47岁男性前纵隔腺瘤致原发性甲状旁腺功能亢进的成功定位与治疗。中华医学会医学杂志2022;16(2): 003。DOI: https://doi.org/10.55010/imcjms.16.013*Correspondence: Nusrat Sultana博士，孟加拉国达卡Bangabandhu Sheikh Mujib医科大学内分泌科15楼d座1620室。电子邮件:nusrat_sultana@bsmmu.edu.bd

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IMC Journal of Medical Science

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审稿时长

6 weeks