Keywords
hyperparathyroidism, primary parathyroid tumor, mediastinal tumor
Abstract
Two patients had hyperparathyroidism syndrome due to primary parathyroid tumor, located in the mediastinum, so it was detected when complications had already occurred. After entering the Thoracic Surgery Department of Bach Mai Hospital, the patient was examined: ultrasound, computed tomography, magnetic resonance imaging and parathyroid scintigraphy, which determined the parathyroid tumor was located in the mediastinum. Endoscopic mediastinal parathyroid tumor was performed for 1 case, and open mediastinal surgery for the other case. Postoperative results progressed well, PTH (Parathyroid Hormone) and other indicators returned to normal.
References
[1]
J. H. S. M. S. Y. H. M. H. K. M. M. K. K. M. Suho Kim MD, "The Parathyroid Gland: An overall review of the hidden organ for radiologists," The Korean Society of Radiology, 2023.
Google Scholar
[2]
W. L. V. J. S. B. P. P. W. J. e. a. Taterra D, "The prevalence and anatomy of parathyroid glands: a meta-analysis with implications for parathyroid surgery," Langenbecks Arch Surg, vol. 404, pp. 63-70, 2019.
Google Scholar
[3]
M. H. C. H. S. R. Roy M, "Incidence and localization of ectopic parathyroid adenomas in previously unexplored patients," World J Surg, vol. 37, pp. 102-106, 2013.
Google Scholar
[4]
T. e. al, "Ectopic PTH-producing parathyroid cyst inside the thymus: a case report," BMC Endocrine Disorders, vol. 22, p. 327, 2022.
Google Scholar
[5]
S. P. B. M. Norton JA, "Median sternotomy in reoperations for primary hyperparathyroidism," World J Surg, vol. 9, p. 807–13, 1985.
Google Scholar
[6]
G. R. M. A. Wang C, "Mediastinal parathyroid exploration: a clinical and pathologic study of 47 cases," World J Surg, vol. 10, p. 687–95, 1986.
Google Scholar
[7]
W. Z. P. M. J. X. M. K. S. M. M Chen MM, "Primary hyperparathyroidism caused by mediastinal ectopic parathyroid adenoma," Hong Kong Med J, vol. 23, pp. 411-3, 2017.
Google Scholar
[8]
K. K. N. T. K. M. F. I. Y. H. Moriyama T, "Diagnosis of a case of ectopic parathyroid adenoma on the early image of 99mTc-MIBI scintigram," Endocr J, vol. 54, p. 437–40, 2007.
Google Scholar
[9]
NICE, Hyperparathyroidism (primary): diagnosis, assessment and initial management, London, 2019.
Google Scholar
[10]
C. J. K. S. C. I. Y. T. L. K. K. J. C. G. Y. Y. Suh YJ, "Comparison of 4D CT, ultrasonography, and 99mTc sestamibi SPECT/CT in localizing singlegland primary hyperparathyroidism," Otolaryngol Head Neck Surg, vol. 3, p. 438–443, 2015.
Google Scholar