A Case of a Retroesophageal Parathyroid Adenoma with an Aberrant Right Subclavian Artery: A Potential Surgical Pitfall
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概要
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We report a case of retroesophageal parathyroid adenoma coexisting with an aberrant right subclavian artery (ARSA). A 63-year-old female presented with elevated serum calcium and intact parathyroid hormone levels. 99mTc-methoxyisobutylisonitrile scintigram and enhanced chest computed tomography (CT) revealed a mediastinal tumor measuring 25 × 15 × 7 mm located posterior to the esophagus. Three-dimensional CT provided accurate anatomical location of the tumor and the ARSA. We safely resected the ectopic parathyroid adenoma using video-assisted thoracic surgery owing to the accurate location of the adenoma and its relationship to the surrounding anatomical structures including the ARSA.
著者
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Akiba Tadashi
Department Of Surgery I The Jikei University School Of Medicine
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Inagaki Takuya
Department Of Chemistry Graduate School Of Science Osaka University
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Marushima Hideki
Department Of Surgery Jikei University Kashiwa Hospital
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Ohki Takao
Department Of Surgery Jikei University School Of Medicine
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Morikawa Toshiaki
Department Of Breast And Endocrine Surgery Jikei University School Of Medicine
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Nakada Takeo
Department Of Health Policy Science Tokyo Medical And Dental University Graduate School
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Nakada Takeo
Department of Surgery, Jikei University Kashiwa Hospital, Chiba, Japan
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Marushima Hideki
Department of Surgery, Jikei University Hospital, Minatoku, Tokyo, Japan
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Ohki Takao
Department of Surgery, Jikei University Hospital, Minatoku, Tokyo, Japan
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