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Ectopic pure mediastinal parathyroid adenoma: A case report.
- Source :
-
International journal of surgery case reports [Int J Surg Case Rep] 2022 Jan; Vol. 90, pp. 106598. Date of Electronic Publication: 2021 Nov 12. - Publication Year :
- 2022
-
Abstract
- Introduction and Importance: The ectopic parathyroid adenoma is an important cause of refractory and recurrent hyperparathyroidism. The mediastinal location of ectopic parathyroid tissue is reported in up to 20% of cases of ectopic parathyroid adenomas. In around 2% of cases where cervical approach is unfeasible, the mediastinal route imposes a surgical challenge.<br />Case Presentation: We describe a case of a twenty-five-year-old male patient with manifestations of hyperparathyroidism. Computed tomography of the chest showed an anterior mediastinal mass. Nuclear scintigraphy detected a functioning parathyroid tissue in the mediastinum. The mass was excised en block with the surrounding adipose tissue using a three-port video-assisted thoracoscopic surgery. The patient showed a full symptomatic and laboratory recovery.<br />Clinical Discussion: Mediastinal parathyroid glands comprise a unique surgical entity with diagnostic and management difficulties.<br />Conclusion: Mediastinal parathyroid gland is a rare yet important cause of refractory hypercalcemia. The current localization tools improve the thoracoscopic management of MPAs. VATS can provide access and exposure to ectopic parathyroid adenoma with low morbidity.<br /> (Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2210-2612
- Volume :
- 90
- Database :
- MEDLINE
- Journal :
- International journal of surgery case reports
- Publication Type :
- Academic Journal
- Accession number :
- 34896776
- Full Text :
- https://doi.org/10.1016/j.ijscr.2021.106598