A 64-year old male with a prior medical history of bladder transitional cell carcinoma treated with a cystoprostatectomy and adjuvant platinum-based chemotherapy 10 years earlier underwent a surveillance positron emission tomography (PET) scan that revealed a metabolically active 2-cm nodule in the superior mediastinum, anterior to the origin of the innominate artery. The lesion was removed due to concerns of metastatic disease using a cervical mediastinoscope. Final pathology revealed an ectopic mediastinal parathyroid adenoma. The combination of the rare presentation, uncommon surgical approach and pathology makes this case unique.
Written by:
Adewole AD, Roman SA, Kraev AI, Kim AW Are you the author?
Department of Surgery, Yale School of Medicine, New Haven, CT, USA
Reference: Interact Cardiovasc Thorac Surg. 2012 May 29
doi: 10.1093/icvts/ivs232
PubMed Abstract
PMID: 22645294