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[Asymptomatic mediastinal parathyroid adenoma]
S Bota1, A Cuvelier, C Peillon
1Département de Pneumologie, Hôpital de Bois-Guillaume, CHU de Rouen.
Revue Des Maladies Respiratoires
|March 13, 1998
Summary
A cystic parathyroid adenoma presented as an anterior mediastinal mass, causing tracheal compression. This rare tumor occurred without clinical or biochemical signs of hyperparathyroidism.
Area of Science:
- Endocrinology
- Thoracic Surgery
- Pathology
Background:
- Parathyroid adenomas are typically found in the neck and rarely present as anterior mediastinal masses.
- Anterior mediastinal masses can cause significant local compression symptoms.
Observation:
- A 74-year-old woman presented with pleuro-pneumonia, and imaging revealed a persistent right paratracheal opacity.
- Computed tomography demonstrated a large anterior mediastinal mass compressing the trachea without invasion.
Findings:
- Surgical excision of the mass revealed a hemorrhagic tumor.
- Histological examination confirmed the diagnosis of cystic parathyroid adenoma.
Implications:
- This case highlights the importance of considering ectopic parathyroid tissue in the differential diagnosis of anterior mediastinal masses.
- The absence of hyperparathyroidism symptoms underscores the potential for silent or asymptomatic presentation of such tumors.