title: Aortopulmonary ectopic parathyroid gland and concurrent thymolipoma.
abstract: Ectopic parathyroid adenomas are considered the main cause of primary hyperparathyroidism. However, concurrent parathyroid and thymic pathologies are rarely diagnosed in the same patient. A 47-year-old man with history of diabetes mellitus, hypertension, and myasthenia gravis presented with persistent hypercalcemia. Laboratory investigations, computed tomography, and technetium-99 m sestamibi scintigraphy revealed ectopic parathyroid glands, a mediastinal mass, and an enlarged thymus. The patient underwent thymectomy and mass excision via a median sternotomy. Histopathology was consistent with ectopic parathyroid adenoma and thymolipoma. The serum calcium and parathormone concentrations normalized within 48 hours after surgery.
authors.affiliation: Department of Surgery, Faculty of Medicine, The University of Jordan, Amman, Jordan abeelehm@yahoo.com.
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Abu Abeeleh
authors.affiliation: Department of Surgery, Faculty of Medicine, The University of Jordan, Amman, Jordan.
authors.forename: Amjad
authors.initials: A
authors.lastname: Bani Hani
authors.affiliation: Department of Surgery, Faculty of Medicine, The University of Jordan, Amman, Jordan.
authors.forename: Ata
authors.initials: A
authors.lastname: Ghaith
authors.affiliation: Department of Surgery, Faculty of Medicine, The University of Jordan, Amman, Jordan.
authors.forename: Tareq
authors.initials: T
authors.lastname: Alodwan
authors.affiliation: The University of Science and Technology, Irbid, Jordan.
authors.forename: Zuhair
authors.initials: Z
authors.lastname: Bani Ismail
authors.affiliation: The University of Science and Technology, Irbid, Jordan.
authors.forename: Musa
authors.initials: M
authors.lastname: Alshehabat
mesh_terms: D000236:Adenoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001706:Biopsy; D002828:Choristoma / Q000175:diagnosis; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D049950:Hyperparathyroidism, Primary / Q000209:etiology; D008067:Lipoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary; D010280:Parathyroid Glands; D010282:Parathyroid Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000072078:Positron Emission Tomography Computed Tomography; D019275:Radiopharmaceuticals; D056346:Sternotomy; D017256:Technetium Tc 99m Sestamibi; D013934:Thymectomy; D013953:Thymus Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
keywords: Adenoma; Hypercalcemia; Hyperparathyroidism; Mediastinal neoplasms; Parathyroid neoplasms; Thymus neoplasms