Haldar A, Thapar A, Khan S, Jenkins S
Princess Alexandra Hospital NHS Trust, UK.
Ann R Coll Surg Engl. 2014 Jul;96(5):e21-3. doi: 10.1308/003588414X13946184900480.
Inferior parathyroid adenomas in the mediastinum can be a troublesome cause for hypercalcaemia, requiring a full collar incision or, occasionally, a sternotomy. We report a case of a giant parathyroid adenoma in a 61-year-old woman on warfarin, which we excised via a minimally invasive transcervical approach after radiological localisation. The procedure was performed as a day case and, at six weeks, the patient had recovered fully with biochemical resolution of hypercalcaemia. This case demonstrates that focused transcervical excision of giant parathyroid adenomas is a viable option and should be considered prior to neck exploration or sternotomy.
纵隔内的下甲状旁腺腺瘤可能是导致高钙血症的棘手病因，需要进行全颈部切口，偶尔还需要做胸骨切开术。我们报告一例61岁正在服用华法林的女性患者患有巨大甲状旁腺腺瘤，经放射学定位后，我们通过微创经颈入路将其切除。该手术作为日间手术进行，六周时，患者已完全康复，高钙血症在生化指标上得到缓解。该病例表明，对巨大甲状旁腺腺瘤进行有针对性的经颈切除是一种可行的选择，在进行颈部探查或胸骨切开术之前应予以考虑。
