Uniportal subxiphoid approach for resection of an intra-thymic parathyroid adenoma: a case report

AbstractBackground:Hyperparathyroidism (HPT) is a rare disease in the pediatric population, and optimal management may be unclear if it is due to an occult parathyroid adenoma. We present a case report of a pediatric patient with an occult, ectopic, supernumerary, parathyroid adenoma.Case presentation:A 13-year-old female who initially presented with anxiety was diagnosed with HPT. Preoperative imaging and bilateral neck exploration with four-gland biopsy were negative for any parathyroid adenoma. Postoperative MRI identified a thymic mass. She subsequently underwent video-assisted thoracoscopic thymectomy with resection of an intrathymic parathyroid adenoma.Conclusions:The diagnosis of pediatric HPT is increasing. Supernumerary or occult parathyroid adenomas are rare and add complexity to presurgical planning and management. Our case represents the rare occurrence of a pediatric ectopic supernumerary occult parathyroid adenoma treated with a two-stage approach utilizing multiple imaging studies. We provide a review of the pathology and propose an algorithmic approach to manage these complex patients.

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Disseminated Bone Pain Related to Brown Tumors Revealing a Parathyroid Adenoma: A Case Report

Endocrinology&Metabolism International Journal ◽

10.15406/emij.2017.04.00072 ◽

2016 ◽

Vol 4 (1) ◽

Author(s):

Yeddes I

Keyword(s):

Case Report ◽

Parathyroid Adenoma ◽

Bone Pain ◽

Brown Tumors

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Atypical parathyroid adenoma : a case report

Endocrine Abstracts ◽

10.1530/endoabs.73.ep29 ◽

2021 ◽

Author(s):

Chayma Besrour ◽

Imen Rojbi ◽

Marwa Majdoub ◽

Youssef Lakhoua ◽

Nadia Mchirgui ◽

...

Keyword(s):

Case Report ◽

Parathyroid Adenoma ◽

Atypical Parathyroid Adenoma

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Giant parathyroid adenoma diagnosed by brown tumor, a clinical manifestation of primary hyperparathyroidism: a case report

Journal of the Pakistan Medical Association ◽

10.47391/jpma.393 ◽

2021 ◽

pp. 1-8

Author(s):

Banu Yigit ◽

Mert Tanal ◽

Bulent Citgez

Keyword(s):

Case Report ◽

Primary Hyperparathyroidism ◽

Secondary Hyperparathyroidism ◽

Parathyroid Adenoma ◽

Benign Lesion ◽

Brown Tumor ◽

Skeletal System ◽

Radiological Findings ◽

Facial Bones ◽

Osteitis Fibrosa Cystica

Abstract Brown tumor (BT) is the pathological expression of osteitis fibrosa cystica owing to primary and secondary hyperparathyroidism (HPT). It is a rare benign lesion of skeletal system that usually affects the facial bones, clavicles, ribs, pelvis and extremities. The purpose of this case report is to present the clinical, pathological and radiological findings of BT, rarely seen in adults, originating from the giant parathyroid adenoma and emerging as the first clinical sign of HPT. The patient underwent a successful parathyroidectomy operation and on the first postoperative day, the patient was discharged without any complications. Continuous...

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Primary hyperparathyroidism due to ectopic parathyroid adenoma in an adolescent: a case report and review of the literature

Endocrine ◽

10.1007/s12020-019-01875-3 ◽

2019 ◽

Vol 64 (1) ◽

pp. 38-42 ◽

Cited By ~ 3

Author(s):

Xiangli Liu ◽

Lei Sun ◽

Mingrui Shao ◽

PeiWen Li ◽

Wenke Liu ◽

...

Keyword(s):

Case Report ◽

Primary Hyperparathyroidism ◽

Parathyroid Adenoma ◽

Review Of The Literature ◽

Ectopic Parathyroid Adenoma ◽

Ectopic Parathyroid

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Nontraumatic Parapharyngeal Haematoma: A Rare Lesion

Case Reports in Otolaryngology ◽

10.1155/2018/7340937 ◽

2018 ◽

Vol 2018 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Pedro Carneiro de Sousa ◽

Inês Gambôa ◽

Delfim Duarte ◽

Nuno Trigueiros-Cunha

Keyword(s):

Case Report ◽

Parathyroid Hormone ◽

Conservative Treatment ◽

Parathyroid Adenoma ◽

Parapharyngeal Space ◽

Neck Swelling ◽

Parathyroid Adenomas ◽

Rare Lesion ◽

Symptoms And Signs ◽

Emergent Surgery

Nontraumatic haematoma of parapharyngeal space is very rare and may cause dysphagia and dyspnea. The authors present a case report of a 74-year-old woman with sudden nontraumatic neck swelling without dyspnea and with left pharyngeal bulging and endolaryngeal displacement. Parathyroid hormone elevation and imaging exams confirmed bleeding from a parathyroid adenoma. Symptoms and signs resolved after one week of conservative treatment. There are few cases of parapharyngeal haematomas caused by parathyroid adenomas. Most patients can be managed without emergent surgery, but close airway monitoring is fundamental.

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