Excision of mediastinal parathyroid adenoma under the guidance of gamma probe

2016 ◽  
Vol 24 (3) ◽  
pp. 585-588
Author(s):  
Mehmet Ali Sakallı
Keyword(s):  
Parathyroid Adenoma ◽  
Gamma Probe ◽  
Mediastinal Parathyroid Adenoma ◽  
Mediastinal Parathyroid

scholarly journals Excision of an Elusive Tiny Ectopic Parathyroid Adenoma

2017 ◽  
Vol 10 (3) ◽  
pp. 1105-1111
Author(s):  
Andre Navarro ◽  
Josanne Vassallo ◽  
Joseph Galea
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Adenoma ◽  
Gamma Probe ◽  
Surrounding Tissue ◽  
Uneventful Recovery ◽  
Ectopic Parathyroid Adenoma ◽  
Ectopic Parathyroid ◽  
Mediastinal Parathyroid Adenoma ◽  
Upper Mediastinum ◽  
Mediastinal Parathyroid

An elderly lady was diagnosed with primary hyperparathyroidism after being admitted to hospital with pyelonephritis and constipation. A sestamibi parathyroid scan demonstrated increased uptake in the upper mediastinum, suggesting an ectopic mediastinal parathyroid adenoma. The 4-mm adenoma was successfully removed through a mini-sternotomy incision using a gamma probe to identify the gland from the surrounding tissue. The patient made an uneventful recovery.

Cervical Approach by Lifting the Superior Sternum for Mediastinal Parathyroid Adenoma

2009 ◽  
Vol 19 (1) ◽  
pp. 78-81 ◽  
Author(s):  
Yoshifumi Ikeda ◽  
Yuzo Sasaki ◽  
Rika Miyabe ◽  
Naomi Morita ◽  
Hiroshi Takami
Keyword(s):  
Parathyroid Adenoma ◽  
Cervical Approach ◽  
Mediastinal Parathyroid Adenoma ◽  
Mediastinal Parathyroid

Preoperative Localization of Mediastinal Parathyroid Adenoma with Intra-arterial Methylene Blue

2017 ◽  
Vol 40 (6) ◽  
pp. 953-956
Author(s):  
Rida Salman ◽  
Mikhael G. Sebaaly ◽  
Mohammad Rachad Wehbe ◽  
Pierre Sfeir ◽  
Mohamad Khalife ◽  
...  
Keyword(s):  
Methylene Blue ◽  
Parathyroid Adenoma ◽  
Preoperative Localization ◽  
Mediastinal Parathyroid Adenoma ◽  
Mediastinal Parathyroid

scholarly journals Day-case minimally invasive excision of a giant mediastinal parathyroid adenoma

2014 ◽  
Vol 96 (5) ◽  
pp. e21-e23 ◽  
Author(s):  
A Haldar ◽  
A Thapar ◽  
S Khan ◽  
S Jenkins
Keyword(s):  
Minimally Invasive ◽  
Parathyroid Adenoma ◽  
Neck Exploration ◽  
Viable Option ◽  
Day Case ◽  
Transcervical Approach ◽  
Parathyroid Adenomas ◽  
Mediastinal Parathyroid Adenoma ◽  
Mediastinal Parathyroid

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.

scholarly journals Thoracoscopic surgical case of an ectopic mediastinal parathyroid adenoma detected by chance: a case report

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Shota Mitsuboshi ◽  
Hideyuki Maeda ◽  
Hiroe Aoshima ◽  
Tamami Isaka ◽  
Takako Matsumoto ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Parathyroid Adenoma ◽  
Serum Calcium ◽  
Tumor Resection ◽  
Anterior Mediastinum ◽  
Pathological Examination ◽  
Cervical Approach ◽  
History Of ◽  
Mediastinal Parathyroid Adenoma ◽  
Mediastinal Parathyroid

Abstract Background Ectopic mediastinal parathyroid tumor (EMPT) is a rare cause of primary hyperparathyroidism (PHPT); it is difficult to resect using the cervical approach. We describe a case of using video-assisted thoracic surgery (VATS) for EMPT resection. Case presentation A 67-year-old woman with a history of postoperative thyroid cancer had no symptoms. She was diagnosed with PHPT and underwent thyroid cancer surgery. She had serum calcium and intact parathyroid hormone (PTH) levels of 11.1 mg/dL and 206 pg/mL, respectively. Chest computed tomography showed a 10-mm nodule in the anterior mediastinum. Technetium-99 m methoxyisobutyl isonitrile scintigraphy showed an abnormal uptake lesion in the anterior mediastinum. She was diagnosed with PHPT caused by EMPT and underwent VATS. The pathological examination confirmed parathyroid adenoma. Her serum calcium and intact PTH levels were normal from 15 min after tumor resection. She has had no recurrence of EMPT. Conclusions The VATS approach was effective for the resection of EMPT.

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