HOW TO RESECT A MEDIASTINAL PARATHYROID ADENOMA

Year 2016, Volume: 38 Issue: 2, 78 - 80, 21.06.2016

Bartu Badak , Nejdet Fatih Yaşar

Abstract

A 60
year old woman had a history of fatigue and nephrolithiasis. Her serum calcium
and parathyroid hormone levels were 11.45mg/dL (8.6-10.2) and 464,7pg/mL
(15-65) respectively. Her tubular phosphate reabsorption rate was 56% while her
chloride/phosphate ratio was 69,9. Her neck USG was normal. A parathyroid
scintigraphy revealed a mass extending from lower pole of the left thyroid lobe
to the mediastinal region with tracer retention. CT scan of neck and thorax
verified the mass below the aortic arch, which was nodular, isodense with the
thyroid gland and measured approximately 26x27 mm and detected another
hypodense nodule within this bigger nodular mass measuring 13x11mm.

Keywords

mediastinal adenoma

References

• 1. Crescenzo DG, Shabahang M, Gravin D, Evans SR. Intrathyroidal parathyroid cancer presenting as a left neck mass. Thyroid 1998;8:597-599.