The patient is a 68-year-old male with cervical pain, dysphonia and dysphagia. Chest radiograph showed evidence of mediastinal widening, and the CT scan confirmed a mass measuring 8×4cm located in the medioposterior mediastinum with suspected tracheal and esophageal infiltration (Fig. 1). Lab work revealed calcium levels of 12.7mg/dL and a PTH of 844pg/mL. Transesophageal endoscopic ultrasound with biopsy provided the diagnosis of a giant parathyroid lesion. Given the suspicion of malignancy, we decided to operate, performing right hemithyroidectomy with right ipsilateral central lymphadenectomy in association with exploratory thoracotomy. At this time, infiltration of the cartilaginous-membranous portion of the trachea was confirmed, which was unresectable.
Please cite this article as: Hernando Sanz A, Díaz-Tobarra M, Salvador Egea MP, Bordas Rivas JM. Lesión paratiroidea gigante. Cir Esp. 2018;96:236.
