e-ISSN 2147-2475

Hzl Arama




Laparoscopic Endoscopic Surgical Science Ektopik Paratiroid Adenomu: Nadir Bir Mediastinal Tmr [Respir Case Rep]
Respir Case Rep. 2018; 7(1): 26-29 | DOI: 10.5505/respircase.2018.80958

Ektopik Paratiroid Adenomu: Nadir Bir Mediastinal Tmr

Orkide Kutlu1, Mustafa alk2, Cevdet Duran3, Hdr Esme2, Omer Karahan4
1Salk Bilimleri niversitesi Konya Eitim ve Aratrma Hastanesi Dahiliye Klinii, Konya
2Salk Bilimleri niversitesi Konya Eitim ve Aratrma Hastanesi Gs Cerrahisi Klinii, Konya
3Salk Bilimleri niversitesi Konya Eitim ve Aratrma Hastanesi Dahiliye Klinii Endokrinoloji ve Metabolizma Hastalklar Servisi, Konya
4Salk Bilimleri niversitesi Konya Eitim ve Aratrma Hastanesi Genel Cerrahi Klinii, Konya

Primer hiperparatiroidizm (PHPT) genellikle soliter paratiroid adenomuna baldr ve bu adenomlarn % 1'inde ektopik mediastinal yerleim olduu bildirilmitir. Ektopik paratiroid adenomu tansnda Tc99m-MIBI sintigrafisi, yaklak % 100 duyarll vardr; ancak tmrn preoperatif lokalizasyonu belirlenmesi iin MR ve / veya BT grntleri ile birlikte deerlendirilmelidir. Genelde tedavisi sternotomi gerektirebilen servikal yaklam, nadiren de antero-lateral torakotomidir. Son zamanlarda zellikle viseral tmrlerde, video yardml torakoskopik cerrahi (VATS) ile etkin ve rahat bir tedavi seeneidir. Bu yazda, genel cerrahi tarafndan yaplan total tiroidektomi ve paratiroidektomi ameliyatndan sonra devam eden klinik ve laboratuvar hiperparatiroidizmli hastann Tc-99m sintigrafisi ve SPECT ile belirlenen; lateral torakotomi ile baarl eksize edilen mediastinal paratiroid adenomunu bildirmeyi amaladk. Hasta L-tyroxine, kalsiyum ve D vitamini replasman tedavileri ile takip aamasndadr.

Anahtar Kelimeler: Hiperparatiroidizm, adenom, mediastinal, torakotomi

Ectopic Parathyroid Adenoma: A Rare Mediastinal Tumor

Orkide Kutlu1, Mustafa alk2, Cevdet Duran3, Hdr Esme2, Omer Karahan4
1Department of Internal Medicine, Health Sciences University, Konya Training and Research Hospital, Konya, Turkey.
2Department of Thoracic Surgery, Health Sciences University, Konya Training and Research Hospital, Konya, Turkey
3Department of Internal Medicine, Division of Endocrinology and Metabolism, Health Sciences University, Konya Training and Research Hospital, Konya, Turkey
4Department of General Surgery, Health Sciences University, Konya Training and Research Hospital, Konya, Turkey

Primary hyperparathyroidism is generally due to a solitary parathyroid adenoma and among those adenomas, 1% have been reported to have an ectopic mediastinal location. In the diagnosis of ectopic parathyroid adenoma, technetium-99m methoxyisobutylisonitrile scintigraphy is an imaging method with a sensitivity of approximately 100%; however, in preoperative localization of the tumor, it should be evaluated together with magnetic resonance imaging and/or computed tomography images. In general, the treatment necessitates a cervical approach that may require a sternotomy, though rarely, an anterolateral thoracotomy is warranted. Recently, especially in visceral tumors, an effective and comfortable treatment option has been defined with video assisted thoracoscopic surgery. The aim of this article was to report the successful excision of a mediastinal parathyroid adenoma with a lateral thoracotomic approach that was localized with Tc-99m MIBI scintigraphy and single-photon emission computed tomography imaging in a patient with ongoing clinical and laboratory findings of HPT after the first operation, in which a general surgical team performed a total thyroidectomy and parathyroidectomy. The patient is still in follow-up with L-thyroxine, calcium, and vitamin D replacement treatment.

Keywords: Hyperparathyroidism, adenoma, mediastinal, thoracotomy

Orkide Kutlu, Mustafa alk, Cevdet Duran, Hdr Esme, Omer Karahan. Ectopic Parathyroid Adenoma: A Rare Mediastinal Tumor. Respir Case Rep. 2018; 7(1): 26-29

Sorumlu Yazar: Mustafa alk, Trkiye
Makale Dili: ngilizce
LookUs & Online Makale