A Case of Mediastinal Parathyroid Adenoma
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Case Report
P: 317-319
December 2015

A Case of Mediastinal Parathyroid Adenoma

Med Bull Haseki 2015;53(4):317-319
1. Şevket Yılmaz Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, Bursa, Türkiye
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Received Date: 18.04.2015
Accepted Date: 29.04.2015
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ABSTRACT

Parathyroid adenomas are the most important cause of primary hyperparathyroidism. The diagnosis of primary hyperparathyroidism is established based on the combination of elevated serum calcium and parathyroid hormone levels. Parathyroid adenomas are rarely found in the mediastinum. The definitive treatment of primary hyperparathyroidism is parathyroidectomy. The parathyroid hormone and serum calcium levels were determined high in a fifty-seven-year-old female patient with a history of bone and abdominal pain, fatigue, and kidney stones. Anterior mediastinal ectopic parathyroid adenoma was detected with Technetium-99m (Tc-99m) methoxy isobutyl isonitrile scintigraphy. Adenoma was removed surgically with partial median sternotomy. Serum calcium and parathyroid hormone levels returned to normal on the 3rd postoperative day. The patient was discharged with healing.

Keywords:
Ectopic parathyroid adenoma, mediastinum, median sternotomy