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Functional Mediastinal Parathyroid Cyst: Report of a Case
Authors:Iwao Mikami  Kiyoshi Koizumi  Kazuo Shimizu  Masashi Kawamoto  Shinobu Hemmi  Shuji Haraguchi  Tomomi Hirata  Hirohiko Akiyama  Kyoji Hirai  Shigeo Tanaka
Affiliation:(1) Departments of Surgery II and, JP;(2) Pathology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan, JP;(3) Department of Thoracic Surgery, Saitama Cancer Center, 818 Komuro Ina-machi, Kitaadachi-gun, Saitama 362-0806, Japan, JP
Abstract:We report herein a rare case of a functional mediastinal parathyroid cyst. A mediastinal tumor was detected by a chest X-ray film and subsequent computed tomography (CT) scan in a 68-year-old woman who was asymptomatic. Biochemical examination revealed that her serum calcium and intact-parathyroid hormone (i-PTH) levels were above the normal range. The findings of chest CT and magnetic resonance imaging suggested a cystic mass. The mass, which adhered tightly to its surrounding structures, was resected through a median sternotomy. The patient had an uneventful postoperative course, and her serum calcium and i-PTH levels rapidly returned to within the normal range. Received: March 21, 2001 / Accepted: September 11, 2001
Keywords:Functional mediastinal parathyroid cyst  Intact-parathyroid hormone  99mTc-methoxyisobutylisonitrile (MIBI) scintigraphy
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