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  • Title: Recurrent hyperparathyroidism: A sixth mediastinal parathyroid gland.
    Author: Marcheix B, Brouchet L, Berjaud J, Dahan M.
    Journal: Eur J Cardiothorac Surg; 2006 Nov; 30(5):808-10. PubMed ID: 16979898.
    Abstract:
    We present the case of a 71-year-old woman with recurrent hyperparathyroidism. She underwent first a subtotal resection of the parathyroid glands associated with subtotal thyroidectomy in the setting of primary hyperparathyroidism and multi nodular thyroid. Pathologic findings were consistent with hyperplasia and demonstrated a fifth parathyroid gland in the thyroid. Two years later, the patient presented recurrent hyperparathyroidism associated with terminal renal insufficiency, fusion of Sesta Mibi scintigraphy and CT scan demonstrated a sixth mediastinal parathyroid gland in the aorto pulmonary window. Despite videomediastinoscopic attempts, resection was performed through manubriotomy approach. Pathologic findings demonstrated a parathyroid adenoma.
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