Case report: Primary hyperparathyroidism due to mediastinal parathyroid adenoma

Primary hyperparathyroidism is defined by elevated parathyroid hormone and calcium levels, most usually caused a adenoma. Parathyroid adenomas are commonly detected in the neck or an ectopic site, seldom mediastinum. The adenoma can occur locations such as mediastinum, thymus, retro oesophagal area 6-16% of cases. We presented example 73-year-old woman who was found to have hypercalcemia during regular test. patient’s serum (3.11 mmol/L), alkaline phosphatase (162 U/L), (PTH: 379 pg/mL) creatinine (111.6 umol/L) levels were higher than reference values. A chest computerized tomography scan revealed anterior mediastinal mass, nuclear scintigraphy functioning tissue effectively removed surgically, PTH level began fall. Any high absence should prompt clinicians look for sites using mix imaging modalities.