Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report.
Ectopic mediastinal parathyroid tumor
Technetium-99 m methoxyisobutyl isonitrile scintigraphy
Video-assisted thoracoscopic surgery
Journal
BMC surgery
ISSN: 1471-2482
Titre abrégé: BMC Surg
Pays: England
ID NLM: 100968567
Informations de publication
Date de publication:
14 Nov 2019
14 Nov 2019
Historique:
received:
25
09
2019
accepted:
05
11
2019
entrez:
16
11
2019
pubmed:
16
11
2019
medline:
11
2
2020
Statut:
epublish
Résumé
Ectopic mediastinal parathyroid tumor (EMPT) is a rare cause of primary hyperparathyroidism (PHPT); it is difficult to resect using the cervical approach. We describe a case of using video-assisted thoracic surgery (VATS) for EMPT resection. A 67-year-old woman with a history of postoperative thyroid cancer had no symptoms. She was diagnosed with PHPT and underwent thyroid cancer surgery. She had serum calcium and intact parathyroid hormone (PTH) levels of 11.1 mg/dL and 206 pg/mL, respectively. Chest computed tomography showed a 10-mm nodule in the anterior mediastinum. Technetium-99 m methoxyisobutyl isonitrile scintigraphy showed an abnormal uptake lesion in the anterior mediastinum. She was diagnosed with PHPT caused by EMPT and underwent VATS. The pathological examination confirmed parathyroid adenoma. Her serum calcium and intact PTH levels were normal from 15 min after tumor resection. She has had no recurrence of EMPT. The VATS approach was effective for the resection of EMPT.
Sections du résumé
BACKGROUND
BACKGROUND
Ectopic mediastinal parathyroid tumor (EMPT) is a rare cause of primary hyperparathyroidism (PHPT); it is difficult to resect using the cervical approach. We describe a case of using video-assisted thoracic surgery (VATS) for EMPT resection.
CASE PRESENTATION
METHODS
A 67-year-old woman with a history of postoperative thyroid cancer had no symptoms. She was diagnosed with PHPT and underwent thyroid cancer surgery. She had serum calcium and intact parathyroid hormone (PTH) levels of 11.1 mg/dL and 206 pg/mL, respectively. Chest computed tomography showed a 10-mm nodule in the anterior mediastinum. Technetium-99 m methoxyisobutyl isonitrile scintigraphy showed an abnormal uptake lesion in the anterior mediastinum. She was diagnosed with PHPT caused by EMPT and underwent VATS. The pathological examination confirmed parathyroid adenoma. Her serum calcium and intact PTH levels were normal from 15 min after tumor resection. She has had no recurrence of EMPT.
CONCLUSIONS
CONCLUSIONS
The VATS approach was effective for the resection of EMPT.
Identifiants
pubmed: 31727048
doi: 10.1186/s12893-019-0641-2
pii: 10.1186/s12893-019-0641-2
pmc: PMC6857287
doi:
Substances chimiques
Technetium Tc 99m Sestamibi
971Z4W1S09
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
171Références
Gen Thorac Cardiovasc Surg. 2012 Mar;60(3):168-70
pubmed: 22419188
Exp Clin Endocrinol Diabetes. 2012 Nov;120(10):604-10
pubmed: 23174995
J Clin Endocrinol Metab. 2014 Oct;99(10):3561-9
pubmed: 25162665
Ann Thorac Surg. 2010 Jun;89(6):1750-5
pubmed: 20494022
J Surg Case Rep. 2017 Apr 20;2017(4):rjx070
pubmed: 28458875