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Journals / Haseki Tıp Bülteni / 2015 / Cilt: 53 - Sayı: 4

A Case of Mediastinal Parathyroid Adenoma

Mediastinal Paratiroid Adenomu Olgusu

Erkan AKAR
Pages
317–319
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The patient was discharged with healing.

📌 3 Key Takeaways

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Objective & Hypothesis:Parathyroid adenomas are the most important cause of primary hyperparathyroidism.
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Key Findings & Data:Anterior mediastinal ectopic parathyroid adenoma was detected with Technetium-99m (Tc-99m) methoxy isobutyl isonitrile scintigraphy.
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Conclusion & Impact:The patient was discharged with healing.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Parathyroid adenomas are the most important cause of primary hyperparathyroidism. The diagnosis of primary hyperparathyroidism is established based on the combination of elevated serum calcium and parathyroid hormone levels. Parathyroid adenomas are rarely found in the mediastinum. The definitive treatment of primary hyperparathyroidism is parathyroidectomy. The parathyroid hormone and serum calcium levels were determined high in a fifty-seven-year-old female patient with a history of bone and abdominal pain, fatigue, and kidney stones. Anterior mediastinal ectopic parathyroid adenoma was detected with Technetium-99m (Tc-99m) methoxy isobutyl isonitrile scintigraphy. Adenoma was removed surgically with partial median sternotomy. Serum calcium and parathyroid hormone levels returned to normal on the 3rd postoperative day. The patient was discharged with healing.

Özet

Primer hiperparatiroidizmin (PHP) en önemli nedeni paratiroid adenomlarıdır. Serum kalsiyum ve parathormon yüksekliğinin bir arada olması tanıyı koydurur. Paratiroid adenomları nadir olarak mediastende yerleşebilir. Primer hiperparatiroidinin kesin tedavisi paratiroidektomidir. Kemik ağrıları, karın ağrısı, yorgunluk ve böbrek taşı hikayesi olan elli yedi yaşında kadın hastanın laboratuvar bulgularında paratiroid hormonu ve serum kalsiyum yüksekliği tespit edildi. Teknesyum-99m (Tc-99m) metoksi isobutilisonitril sintigrafisi ile anterior mediasten yerleşimli ektopik paratiroid adenomu tespit edildi. Parsiyel median sternotomi ile adenom cerrahi olarak çıkarıldı. Serum kalsiyum ve parathormon düzeyleri postoperatif üçüncü günde normal değerlerine döndü. Hasta sorunsuz bir şekilde taburcu edildi.

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Cite This Article

AKAR, E. (2015). A Case of Mediastinal Parathyroid Adenoma. Haseki Tıp Bülteni, Cilt: 53 - Sayı: 4, 317–319. https://ajindex.com/articles/215287

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