Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidism
Ectopic mediastinal parathyroid is a common cause of recurrent and persistent hyperparathyroidism. Patients with recurrent and persistent hyperparathyroidism have elevated parathyroid hormone, which results in bone, vascular, and soft tissue abnormalities. While CT and MRI can be used to investigate...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323002066 |
| _version_ | 1797847319610130432 |
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| author | Stephen Kwak, MD Elliot K. Fishman, MD |
| author_facet | Stephen Kwak, MD Elliot K. Fishman, MD |
| author_sort | Stephen Kwak, MD |
| collection | DOAJ |
| description | Ectopic mediastinal parathyroid is a common cause of recurrent and persistent hyperparathyroidism. Patients with recurrent and persistent hyperparathyroidism have elevated parathyroid hormone, which results in bone, vascular, and soft tissue abnormalities. While CT and MRI can be used to investigate ectopic parathyroid tissue, nuclear medicine Technetium-99m Sestamibi scan is the preferred method of imaging with sensitivity of 80%-90% and specificity of nearly 90%. Once identified, ectopic mediastinal parathyroid is treated with surgical resection though less invasive methods have gained popularity. We present a case of a 62-year-old female with recurrent secondary hyperparathyroidism that was localized to an ectopic mediastinal parathyroid gland. |
| first_indexed | 2024-04-09T18:09:22Z |
| format | Article |
| id | doaj.art-c65d097b57a64c389083fdce98c48422 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-09T18:09:22Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c65d097b57a64c389083fdce98c484222023-04-14T04:18:55ZengElsevierRadiology Case Reports1930-04332023-06-0118622292231Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidismStephen Kwak, MD0Elliot K. Fishman, MD1Corresponding author.; Johns Hopkins University, 1800 Orleans St, Baltimore, MD 21287, USAJohns Hopkins University, 1800 Orleans St, Baltimore, MD 21287, USAEctopic mediastinal parathyroid is a common cause of recurrent and persistent hyperparathyroidism. Patients with recurrent and persistent hyperparathyroidism have elevated parathyroid hormone, which results in bone, vascular, and soft tissue abnormalities. While CT and MRI can be used to investigate ectopic parathyroid tissue, nuclear medicine Technetium-99m Sestamibi scan is the preferred method of imaging with sensitivity of 80%-90% and specificity of nearly 90%. Once identified, ectopic mediastinal parathyroid is treated with surgical resection though less invasive methods have gained popularity. We present a case of a 62-year-old female with recurrent secondary hyperparathyroidism that was localized to an ectopic mediastinal parathyroid gland.http://www.sciencedirect.com/science/article/pii/S1930043323002066HyperparathyroidismEctopic parathyroidSestamibiParathyroidectomySecondaryTertiary |
| spellingShingle | Stephen Kwak, MD Elliot K. Fishman, MD Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidism Radiology Case Reports Hyperparathyroidism Ectopic parathyroid Sestamibi Parathyroidectomy Secondary Tertiary |
| title | Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidism |
| title_full | Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidism |
| title_fullStr | Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidism |
| title_full_unstemmed | Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidism |
| title_short | Ectopic mediastinal parathyroid: A case report of recurrent secondary hyperparathyroidism |
| title_sort | ectopic mediastinal parathyroid a case report of recurrent secondary hyperparathyroidism |
| topic | Hyperparathyroidism Ectopic parathyroid Sestamibi Parathyroidectomy Secondary Tertiary |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323002066 |
| work_keys_str_mv | AT stephenkwakmd ectopicmediastinalparathyroidacasereportofrecurrentsecondaryhyperparathyroidism AT elliotkfishmanmd ectopicmediastinalparathyroidacasereportofrecurrentsecondaryhyperparathyroidism |