Giant Parathyroid Adenoma in the Posterior Mediastinum.
10.16956/kjes.2006.6.1.42
- Author:
Soo Hee KIM
1
;
Jandee LEE
;
Ji Sup YUN
;
Chi Young LIM
;
Kee Hyun NAM
;
Hang Seok CHANG
;
Woong Youn CHUNG
;
Cheong Soo PARK
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. ysurg@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Primary hyperparathyroidism;
Giant parathyroid adenoma
- MeSH:
Humans;
Hypercalcemia;
Hyperparathyroidism;
Hyperparathyroidism, Primary;
Mediastinum*;
Mortality;
Parathyroid Glands;
Parathyroid Neoplasms*
- From:Korean Journal of Endocrine Surgery
2006;6(1):42-45
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An ectopic hyperfunctioning parathyroid gland is a wellknown cause of failure of an initial surgical procedure for primary hyperparathyroidism. Primary hyperparathyroidism, which is usually asymptomatic, occasionally presents with a hyper-parathyroid crisis. Techniques for preoperative localization are of great importance to prevent or minimize negative exploration and the possible need for future additional exploratory surgery. Surgical resection is the only way of managing mediastinal parathyroid adenoma. Without removal of the involved parathyroid glands, severe hypercalcemia will progress to multisystem organ failure affecting the gastrointestinal, cardiac, renal and cerebral functions, with the mortality rate approaching 100%. We describe a patient with hyperparathyroidism that was caused by a large posterior mediastinal parathyroid adenoma.
