Synchronous Parathyroidectomy and Extended Thymectomy in Multiple Endocrine Neoplasia Type 1

Ann Thorac Surg. 2021 Dec 15:S0003-4975(21)02052-X. doi: 10.1016/j.athoracsur.2021.10.065. Online ahead of print.ABSTRACTA 49-year-old male was investigated for symptoms of hypercalcaemia which had been present for 3 months. An initial chest X-ray showed a large anterior mediastinal mass. Subsequent computed tomography (CT) scans also demonstrated a calcified lesion in the uncinate process of the pancreas, and a neck ultrasound showed parathyroid lesions. Given the combination of symptoms and tumours, this raised the possibility of multiple endocrine neoplasia type 1 (MEN-1) as the diagnosis. The lesions were later biopsy-proven atypical carcinoid neuroendocrine tumours. The patient underwent simultaneous neck dissection for bilateral subtotal parathyroidectomy and midline sternotomy for thymectomy of the large mediastinal mass.PMID:34921818 | DOI:10.1016/j.athoracsur.2021.10.065
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research