A Case of Multiple Cervico-Mediastinal Parathyroid Adenomatosis
10.21593/kjhno/2020.36.1.49
- Author:
Beom Mo KOO
1
;
Moon Seung BEAG
;
Seung Woo KIM
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery Veterans Health Service Medical Center, Seoul, Korea
- Publication Type:Case Report
- From:
Korean Journal of Head and Neck Oncology
2020;36(1):49-52
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The most common cause of primary hyperparathyroidism is a single adenoma accounts for more than 85% and about 1-2% in multiple occurrence. The adenoma arises mainly in the neck and rarely in the mediastinum. The simultaneous occurrence is extremely rare. A 73-year-old man came to our clinic complained about sense of falling forward during last eight months. The brain MRI and vestibular function test showed non-specific findings but total calcium and intact parathyroid hormone levels were markedly elevated. Radiologic studies and sesta-MIBI scan revealed multiple masses in lower paratracheal area and superior mediastinum. We performed mass excision with transcervical approach and all of them were diagnosed as parathyroid adenoma. After surgery, intact PTH and calcium levels returned to the normal range and his symptoms were dramatically improved. We report the unique and rare disease entity with a brief literature review.
