Abstract
We report a case of retroesophageal parathyroid adenoma coexisting with an aberrant right subclavian artery (ARSA). A 63-year-old female presented with elevated serum calcium and intact parathyroid hormone levels. 99mTc-methoxyisobutylisonitrile scintigram and enhanced chest computed tomography (CT) revealed a mediastinal tumor measuring 25×15×7 mm located posterior to the esophagus. Three-dimensional CT provided accurate anatomical location of the tumor and the ARSA. We safely resected the ectopic parathyroid adenoma using video-assisted thoracic surgery owing to the accurate location of the adenoma and its relationship to the surrounding anatomical structures including the ARSA.
MeSH terms
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Adenoma / complications*
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Adenoma / diagnosis*
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Adenoma / surgery
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Aneurysm / complications*
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Aneurysm / diagnosis*
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Aneurysm / surgery
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Cardiovascular Abnormalities / complications*
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Cardiovascular Abnormalities / diagnosis*
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Cardiovascular Abnormalities / surgery
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Deglutition Disorders / complications*
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Deglutition Disorders / diagnosis*
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Deglutition Disorders / surgery
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Female
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Humans
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Imaging, Three-Dimensional
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Middle Aged
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Parathyroid Neoplasms / complications*
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Parathyroid Neoplasms / diagnosis*
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Parathyroid Neoplasms / surgery
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Subclavian Artery / abnormalities*
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Subclavian Artery / surgery
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Thoracic Surgery, Video-Assisted
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Tomography, X-Ray Computed
Supplementary concepts
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Aberrant subclavian artery