Ogawa Toshihisa, Tsuji Ei-ichi, Kanauchi Hajime, Yamada Kazuhiko, Mimura Yoshikazu, Kaminishi Michio
Department of Endocrine Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Ann Thorac Surg. 2007 Nov;84(5):1754-6. doi: 10.1016/j.athoracsur.2007.05.055.
Although approximately 25% of parathyroid tumors in patients with primary hyperparathyroidism are located in the mediastinum, nearly all these tumors can be removed through cervical exploration. However, 1% to 2% of the mediastinal tumors require a transthoracic approach for removal. The mediastinal tumors are usually located in the inferior parathyroid gland, and the ectopic mediastinal tumors derived from the superior glands are extremely rare. We present a case of retroesophageal mediastinal parathyroid adenoma that developed in the left superior parathyroid gland. A thoracotomy was required to remove this tumor. Radioisotope-guided surgery was effective at identifying the tumor.
虽然原发性甲状旁腺功能亢进患者中约25%的甲状旁腺肿瘤位于纵隔，但几乎所有这些肿瘤都可通过颈部探查切除。然而，1%至2%的纵隔肿瘤需要经胸入路切除。纵隔肿瘤通常位于下甲状旁腺，源自上甲状旁腺的异位纵隔肿瘤极为罕见。我们报告一例发生于左上甲状旁腺的食管后纵隔甲状旁腺腺瘤病例。需要开胸手术来切除此肿瘤。放射性同位素引导手术在识别肿瘤方面很有效。
