Giant anterior mediastinal parathyroid adenoma.
A 57-year-old woman with type 2 diabetes was admitted to our hospital presenting with generalized bone pains, hypercalcemia, and elevated parathyroid hormone level. Enhanced CT scan demonstrated a large soft tissue mass in the right anterior mediastinum. Tc-MIBI scintigraphy revealed the focal accumulation of radiotracer uptake in the anterior mediastinum. Tc-MIBI SPECT/CT imaging also corroborated the same finding. The patient underwent surgery to have a giant ectopic parathyroid adenoma (7 × 4.5 × 1.5 cm) removed. The patient has been observed for 2 years, with normal parathyroid hormone and calcium levels.
Shanghai Diabetes Institute, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Lianxi
L
Li
Libo
L
Chen
Yi
Y
Yang
Junfeng
J
Han
Songhua
S
Wu
Yuqian
Y
Bao
Weiping
W
Jia
D005260:Female; D006801:Humans; D008482:Mediastinum / Q000000981:diagnostic imaging*; D008875:Middle Aged; D064847:Multimodal Imaging; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D047368:Tumor Burden