Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report
Abstract 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...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-019-0641-2 |
| _version_ | 1818870203180646400 |
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| author | Shota Mitsuboshi Hideyuki Maeda Hiroe Aoshima Tamami Isaka Takako Matsumoto Hiromi Onizuka Masato Kanzaki |
| author_facet | Shota Mitsuboshi Hideyuki Maeda Hiroe Aoshima Tamami Isaka Takako Matsumoto Hiromi Onizuka Masato Kanzaki |
| author_sort | Shota Mitsuboshi |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-19T12:03:17Z |
| format | Article |
| id | doaj.art-ba83d1dbec5345f2a67fe693691a7d92 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-19T12:03:17Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-ba83d1dbec5345f2a67fe693691a7d922022-12-21T20:22:25ZengBMCBMC Surgery1471-24822019-11-011911410.1186/s12893-019-0641-2Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case reportShota Mitsuboshi0Hideyuki Maeda1Hiroe Aoshima2Tamami Isaka3Takako Matsumoto4Hiromi Onizuka5Masato Kanzaki6Department of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityDepartment of Surgical Pathology, Tokyo Women’s Medical UniversityDepartment of Thoracic Surgery, Tokyo Women’s Medical UniversityAbstract 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.http://link.springer.com/article/10.1186/s12893-019-0641-2Video-assisted thoracoscopic surgeryEctopic mediastinal parathyroid tumorTechnetium-99 m methoxyisobutyl isonitrile scintigraphy |
| spellingShingle | Shota Mitsuboshi Hideyuki Maeda Hiroe Aoshima Tamami Isaka Takako Matsumoto Hiromi Onizuka Masato Kanzaki Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report BMC Surgery Video-assisted thoracoscopic surgery Ectopic mediastinal parathyroid tumor Technetium-99 m methoxyisobutyl isonitrile scintigraphy |
| 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 | Video-assisted thoracoscopic surgery Ectopic mediastinal parathyroid tumor Technetium-99 m methoxyisobutyl isonitrile scintigraphy |
| url | http://link.springer.com/article/10.1186/s12893-019-0641-2 |
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