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KMID : 0359920090280060704
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Korean Journal of Nephrology
2009 Volume.28 No. 6 p.704 ~ p.707
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A Case of Newly Detected Ectopic Mediastinal Parathyroid Gland in Chronic Renal Failure Patient after Parathyroidectomy
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Jung Duk-Eun
Choi Jee-Eun
Lee Kang-Won
Lee Yu-Min
Lee Ji-Eun
Kim Hyeon-Jeong
Ahn Seon-Ho
Song Ju-Hung
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Abstract
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Hyperparathyroidism is one of the most serious complications for hemodialysis patients. Parathyroidectomy is indicated in patients with severe hyperparathyroidsm refractory to medical treatment. An 39- year-old man who were maintained by hemodialysis underwent parathyroidectomy due to tertiary hyperparathyroidism. The level of intact PTH fell after parathyroidectomy but subsequently rose. We checked up the parathyroid gland by MIBI scan and CT. As a result, a mass was found in the anterior mediastinum. So it is important to suspect the ectopic parathyroid gland when the PTH level elevation is persistent after parathyroidectomy in chronic renal failure patient.
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KEYWORD
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Ectopic, Parathyroid gland, Hyperparathyroidism, Parathyroidectomy
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