Thoracoscopic partial thymectomy for untraceable mediastinal parathyroid adenomas

Inferior parathyroid adenomas in the mediastinum can be a troublesome cause for hypercalcaemia, requiring a full collar incision or, occasionally, a sternotomy. We report a case of a giant parathyroid adenoma in a 61-year-old woman on warfarin, which we excised via a minimally invasive transcervical approach after radiological localisation. The procedure was performed as a day case and, at six weeks, the patient had recovered fully with biochemical resolution of hypercalcaemia. This case demonstrates that focused transcervical excision of giant parathyroid adenomas is a viable option and should be considered prior to neck exploration or sternotomy.

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Radioguided Parathyroidectomy via VATS Combined With Intraoperative Parathyroid Hormone Testing: The Surgical Approach of Choice for Patients With Mediastinal Parathyroid Adenomas?

Journal of Bone and Mineral Research ◽

10.1359/jbmr.2002.17.8.1368 ◽

2002 ◽

Vol 17 (8) ◽

pp. 1368-1371 ◽

Cited By ~ 37

Author(s):

Jacquelyn K. O'Herrin ◽

Tracey Weigel ◽

Michael Wilson ◽

Herbert Chen

Keyword(s):

Parathyroid Hormone ◽

Surgical Approach ◽

Parathyroid Adenomas ◽

Radioguided Parathyroidectomy ◽

Intraoperative Parathyroid Hormone ◽

Mediastinal Parathyroid

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Thoracoscopic resection with intraoperative use of methylene blue to localize mediastinal parathyroid adenomas

General Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-011-0796-y ◽

2012 ◽

Vol 60 (3) ◽

pp. 168-170 ◽

Cited By ~ 5

Author(s):

Yoshin Adachi ◽

Hiroshige Nakamura ◽

Yuji Taniguchi ◽

Ken Miwa ◽

Shinji Fujioka ◽

...

Keyword(s):

Methylene Blue ◽

Thoracoscopic Resection ◽

Parathyroid Adenomas ◽

Mediastinal Parathyroid

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Detection and treatment of mediastinal parathyroid adenomas

Otolaryngology ◽

10.1016/s0194-5998(99)80532-4 ◽

1999 ◽

Vol 121 (2_suppl) ◽

pp. P253-P253

Author(s):

James K Fortson ◽

Lanerdo Thompson

Keyword(s):

Parathyroid Adenomas ◽

Mediastinal Parathyroid

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A case report of a ectopic parathyroid adenoma and literature review

10.21203/rs.3.rs-448754/v1 ◽

2021 ◽

Author(s):

Xue Liu ◽

lin Hui Wang

Keyword(s):

Parathyroid Adenoma ◽

Early Stage ◽

Cystic Degeneration ◽

Solid Mass ◽

Mediastinal Tumors ◽

Case Presentation ◽

Parathyroid Adenomas ◽

Ectopic Parathyroid ◽

Mediastinal Parathyroid Adenoma ◽

Mediastinal Parathyroid

Abstract Background Giant ectopic mediastinal parathyroid adenoma with cystic degeneration and intratumoral hemorrhage is extremely rare, with low morbidity and a high misdiagnosis rate, and requires precise positioning and surgical resection. Case presentation: A 41-year-old woman presented with a sore throat for 3 days and hoarse voice for 1 day. The following chest computed tomography (CT) showed a large fusiform high-density mass in the posterior tracheal space (maximum cross-section of 34 x 25 mm). ultrasonography of the neck showed a low-echo solid mass. This patient had undergone 2 puncture treatments and 1 surgical treatment from the discovery of the lesion to the diagnosis of the cause over the span of more than a month. Subsequently, the final pathology was definitely diagnosed as parathyroid adenoma with cystic lesions. Six months after the operation, the patient did not relapse. Conclusions This case reported a rare and huge ectopic mediastinal parathyroid adenoma that was misdiagnosed as mediastinal tumor hemorrhage at an early stage. For ectopic mediastinal parathyroid adenomas, surgery is the preferred treatment option. Warn us that we should expand the scope of disease thinking for mediastinal tumors.

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