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European Surgery

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01-10-2016 | case report

Video-assisted mediastinoscopic removal of ectopic parathyroid adenoma combined with standard cervical exploration

Authors: Petr Libánský, Danylo Yershov, Svatopluk Adámek, Jan Šimonek, Martina Fialová, Jozef Kubinyi, Robert Lischke

Published in: European Surgery | Issue 5/2016

Summary

Background

Primary hyperparathyroidism (HPT) is one of the most common endocrine disorders. The standard treatment is surgical removal via a cervical incision. In rare cases, abnormal parathyroid tissue may be present in the mediastinum and therefore inaccessible through the standard incision.

Case report

A 57-year-old female presented in our clinic with high ionized calcium and high parathyroid hormone levels. A technetium-99m sestamibi scan showed a focal mass in the superior mediastinum. A single-stage cervical exploration and video-assisted mediastinoscopic (VAM) removal of the intrathoracic ectopic parathyroid adenoma was performed.

Results

Our approach proved to be successful. There were no surgical complications and the patient was discharged on postoperative day 2.

Conclusion

We suggest that in the case of occult mediastinal hyperfunctioning parathyroid tissue, a VAM is a valuable extension of the standard explorative neck surgery.

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Alesina PF, Moka D, Mahlstedt J, Walz MK. Thoracoscopic removal of mediastinal hyperfunctioning parathyroid glands: personal experience and review of the literature. World J Surg. 2008;32(2):224–31.CrossRefPubMed

Amer K, Khan AZ, Rew D, Lagattolla N, Singh N. Video assisted thoracoscopic excision of mediastinal ectopic parathyroid adenomas: a UK regional experience. Ann Cardiothorac Surg. 2015;4(6):527–34.PubMedPubMedCentral

Tcherveniakov P, Menon A, Milton R, Papagiannopoulos K, Lansdown M, Thorpe JA. Video-assisted mediastinoscopy (VAM) for surgical resection of ectopic parathyroid adenoma. J Cardiothorac Surg. 2007;2:41.CrossRefPubMedPubMedCentral

Ismail M, Maza S, Swierzy M, et al. Resection of ectopic mediastinal parathyroid glands with the da Vinci robotic system. Br J Surg. 2010;97(3):337–43.CrossRefPubMed

Title: Video-assisted mediastinoscopic removal of ectopic parathyroid adenoma combined with standard cervical exploration
Authors: Petr Libánský
Danylo Yershov
Svatopluk Adámek
Jan Šimonek
Martina Fialová
Jozef Kubinyi
Robert Lischke
Publication date: 01-10-2016
Publisher: Springer Vienna
Published in: European Surgery / Issue 5/2016
Print ISSN: 1682-8631
Electronic ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-016-0413-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Video-assisted mediastinoscopic removal of ectopic parathyroid adenoma combined with standard cervical exploration

Summary

Background

Case report

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Summary

Background

Case report

Results

Conclusion

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