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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

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

PMID:
24381775
PMCID:
PMC3870100
DOI:
10.1155/2013/676039
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