Ectopic Mediastinal Parathyroid Adenoma in a Patient with Chronic Kidney Disease: A Case Report
Choo Dong-Min, 김진환, 김성수,
소속 상세정보
( Choo Dong-Min )
Chungnam National University School of Medicine Chungnam National University Hospital Department of Radiology
김진환 ( Kim Jin-Hwan )
Chungnam National University School of Medicine Chungnam National University Hospital Department of Radiology
김성수 ( Kim Song-Soo )
Chungnam National University School of Medicine Chungnam National University Hospital Department of Radiology
Abstract
We report an ectopic mediastinal parathyroid adenoma in a patient with chronic kidney disease who presented with refractory hypercalcemia. Technetium-99m-sestamibi scintigraphy is a valuable imaging technique for the detection of an ectopic parathyroid adenoma in the mediastinum. The combination of intense contrast enhancement and the identification of a polar vessel on a computed tomography scan will ensure that a radiologist can differentiate a parathyroid adenoma from other pathologies in the mediastinum. By virtue of the advancement of imaging modalities, localization of an ectopic mediastinal parathyroid adenoma prior to surgery is possible and unnecessary neck exploration is avoidable.
키워드
Parathyroid Neoplasms; Mediastinal Neoplasms; Hyperparathyroidism
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