Excision of Ectopic Mediastinal Parathyroid Adenoma via Parasternal Videomediastinoscopy

Mediastinum is one of the place in which ectopic parathyroid adenomas can be located.Here, an ectopic mediastinal parathyroid adenoma, which was excised via parasternal videomediastinoscopy was presented. The patient with chronic renal insufficiency had increased calcium levels persistence after the...

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Bibliographic Details
Published inAnnals of Thoracic and Cardiovascular Surgery Vol. 20; no. 1; pp. 67 - 69
Main Authors Liman, Serife Tuba, Topcu, Salih, Dervisoglu, Erkan, Gorur, Gozde Daglioz, Elicora, Aykut, Burc, Korkmaz, Akgul, Asli Gul
Format Journal Article
LanguageEnglish
Published Japan The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2014
Subjects
Adenoma - blood
Adenoma - pathology
Adenoma - surgery
Calcium - blood
Choristoma - blood
Choristoma - pathology
Choristoma - surgery
Humans
Hyperparathyroidism, Primary - blood
Male
mediastinal
Mediastinal Neoplasms - blood
Mediastinal Neoplasms - pathology
Mediastinal Neoplasms - surgery
Mediastinoscopy
Middle Aged
parasternal
parathyroid adenoma
Parathyroid Neoplasms - blood
Parathyroid Neoplasms - pathology
Parathyroid Neoplasms - surgery
surgical excision
Tomography, X-Ray Computed
Treatment Outcome
Video-Assisted Surgery
videomediastinoscopy
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Summary:Mediastinum is one of the place in which ectopic parathyroid adenomas can be located.Here, an ectopic mediastinal parathyroid adenoma, which was excised via parasternal videomediastinoscopy was presented. The patient with chronic renal insufficiency had increased calcium levels persistence after the surgery for cervical parathyroid adenoma.Radiologic and scintigraphic examinations revealed a focal intense nodule in anterior mediastinum. Parasternal videomediastinoscopy was performed via parasternal incision through the second intercostal space. Ex-vivo specimen radioactivity measurements and frozen examination confirmed parathyroid adenoma. Calcium levels were decreased dramatically after the operation. Parasternal videomediastinoscopy could be an alternative surgical way in anterior mediastinal small masses such as ectopic parathyroid adenoma. It is the first case in which parasternal videomediastinoscopy was used for excision of mediastinal parathyroid adenoma.
Bibliography:ObjectType-Case Study-2
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ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.12.01960