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KMID : 0986520060060010042
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Korean Journal of Endoscrine Surgery
2006 Volume.6 No. 1 p.42 ~ p.45
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Giant Parathyroid Adenoma in the Posterior Mediastinum
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Kim Soo-Hee
Lee Jan-Dee
Yun Ji-Sup
Lim Chi-Young
Nam Kee-Hyun
Chang Hang-Seok
Chung Woong-Youn
Park Cheong-Soo
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Abstract
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An ectopic hyperfunctioning parathyroid gland is a well- known cause of failure of an initial surgical procedure for primary hyperparathyroidism. Primary hyperparathyroidism, which is usually asymptomatic, occasionally presents with a hyper-parathyroid crisis. Techniques for preoperative localization are of great importance to prevent or minimize negative exploration and the possible need for future additional exploratory surgery. Surgical resection is the only way of managing mediastinal parathyroid adenoma. Without removal of the involved parathyroid glands, severe hypercalcemia will progress to multisystem organ failure affecting the gastrointestinal, cardiac, renal and cerebral functions, with the mortality rate approaching 100%. We describe a patient with hyperparathyroidism that was caused by a large posterior mediastinal parathyroid adenoma.
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KEYWORD
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Primary hyperparathyroidism, Giant parathyroid adenoma
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