[Hyperparathyroidism from mediastinal parathyroid adenoma. Case report]

Area of Science:

• Endocrinology
• Surgical Oncology
• Medical Imaging

Background:

• Primary hyperparathyroidism is a common endocrine disorder.
• Ectopic parathyroid adenomas can present diagnostic challenges.
• Pre-operative localization is crucial for surgical planning.

Observation:

• A case of primary hyperparathyroidism with a mediastinal ectopic parathyroid adenoma was identified.
• A combination of ultrasound (US), scintigraphy, and SPECT imaging was employed for pre-operative localization.
• The parathyroid adenoma was successfully located in the mediastinum prior to surgical intervention.

Findings:

• Multi-modal imaging effectively identified the ectopic mediastinal parathyroid adenoma.
• Minimally invasive surgery was performed for targeted excision.
• The surgical approach resulted in reduced operative time and hospital stay.

Implications:

• Accurate pre-operative localization of ectopic parathyroid glands improves surgical outcomes.
• Minimally invasive techniques are effective for treating parathyroid adenomas.
• This case highlights the importance of advanced imaging in managing complex hyperparathyroidism cases.