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Case Rep Otolaryngol. 2013;2013:676039. doi: 10.1155/2013/676039. Epub 2013 Dec 5.

Identifying an Ectopic Parathyroid Adenoma Using 4DCT in a Pediatric Patient with Persistent Primary Hyperparathyroidism.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, University of Southern California School of Medicine, 1200 North State Street GNH 4136, Los Angeles, CA 90033, USA.
2
Department of Pediatric Endocrinology, Children's Hospital, Los Angeles, CA 90027, USA.
3
Department of Endocrinology, University of California Los Angeles, Los Angeles, CA 90095, USA.
4
Department of Otolaryngology-Head and Neck Surgery, University of Southern California School of Medicine, 1200 North State Street GNH 4136, Los Angeles, CA 90033, USA ; Department of Pediatric Otolaryngology, Children's Hospital, Los Angeles, CA 90027, USA.

Abstract

We present a case of an ectopic mediastinal parathyroid adenoma detected with 4-dimensional computed tomography (4DCT) in a patient with persistent primary hyperparathyroidism and failed neck exploration. We discuss the utility of 4DCT in the localization of these lesions and offer an algorithm that implements the use of 4DCT early on when standard imaging techniques are nonlocalizing.

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