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Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report

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: A 67-year-old woman with a...

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Autores principales: Mitsuboshi, Shota, Maeda, Hideyuki, Aoshima, Hiroe, Isaka, Tamami, Matsumoto, Takako, Onizuka, Hiromi, Kanzaki, Masato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857287/
https://www.ncbi.nlm.nih.gov/pubmed/31727048
http://dx.doi.org/10.1186/s12893-019-0641-2
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author Mitsuboshi, Shota
Maeda, Hideyuki
Aoshima, Hiroe
Isaka, Tamami
Matsumoto, Takako
Onizuka, Hiromi
Kanzaki, Masato
author_facet Mitsuboshi, Shota
Maeda, Hideyuki
Aoshima, Hiroe
Isaka, Tamami
Matsumoto, Takako
Onizuka, Hiromi
Kanzaki, Masato
author_sort Mitsuboshi, Shota
collection PubMed
description 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: 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: The VATS approach was effective for the resection of EMPT.
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spelling pubmed-68572872019-12-05 Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report Mitsuboshi, Shota Maeda, Hideyuki Aoshima, Hiroe Isaka, Tamami Matsumoto, Takako Onizuka, Hiromi Kanzaki, Masato BMC Surg Case Report 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: 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: The VATS approach was effective for the resection of EMPT. BioMed Central 2019-11-14 /pmc/articles/PMC6857287/ /pubmed/31727048 http://dx.doi.org/10.1186/s12893-019-0641-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Mitsuboshi, Shota
Maeda, Hideyuki
Aoshima, Hiroe
Isaka, Tamami
Matsumoto, Takako
Onizuka, Hiromi
Kanzaki, Masato
Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
title Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
title_full Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
title_fullStr Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
title_full_unstemmed Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
title_short Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
title_sort thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857287/
https://www.ncbi.nlm.nih.gov/pubmed/31727048
http://dx.doi.org/10.1186/s12893-019-0641-2
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