Synchronous Parathyroidectomy and Extended Thymectomy in Multiple Endocrine Neoplasia Type 1.

Ann Thorac Surg

Department of Otolaryngology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.

Published: August 2022


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Article Abstract

A 49-year-old man presented with symptoms of hypercalcemia that had been present for 3 months. An initial chest x-ray showed a large anterior mediastinal mass. Subsequent computed tomography also demonstrated a calcified lesion in the uncinate process of the pancreas, and a neck ultrasound showed parathyroid lesions. The combination of symptoms and tumors raised the possibility of multiple endocrine neoplasia type 1 as the diagnosis. The lesions were later biopsy-proven to be atypical carcinoid neuroendocrine tumors. The patient underwent simultaneous neck dissection for bilateral subtotal parathyroidectomy and midline sternotomy for thymectomy of the large mediastinal mass.

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http://dx.doi.org/10.1016/j.athoracsur.2021.10.065DOI Listing

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