Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entity
Ectopic mediastinal parathyroid adenomas are uncommon. Here, we report the successful thoracoscopic removal of a mediastinal parathyroid adenoma from a patient with hypercalcemia. A 58-year-old female patient was referred to our department with persistent hypercalcemia. Serum calcium and phosphorus...
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Medycyna Praktyczna
2018-05-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.termedia.pl/Thoracoscopic-removal-of-ectopic-mediastinal-parathyroid-adenoma-causing-hyperparathyroidism-a-rare-entity,42,32835,1,1.html |
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| author | Ezel Erşen Burcu Kılıç |
| author_facet | Ezel Erşen Burcu Kılıç |
| author_sort | Ezel Erşen |
| collection | DOAJ |
| description | Ectopic mediastinal parathyroid adenomas are uncommon. Here, we report the successful thoracoscopic removal of a mediastinal parathyroid adenoma from a patient with hypercalcemia. A 58-year-old female patient was referred to our department with persistent hypercalcemia. Serum calcium and phosphorus levels were 13.2 mg/dl and 2.5 mg/dl respectively, while the intact parathormone level was 798.9 pg/ml. Parathyroid computed tomography revealed a solid and well-defined mass at the anterior mediastinum close to the distal aorta. Once the contrast was enhanced, our pre-diagnosis was ectopic parathyroid adenoma. The mass was detected at the anterior mediastinum, dissected free from the surrounding tissue and excised. The capsulated mass, which had a diameter of 3 × 1.5 × 0.7 cm, was confirmed as parathyroid adenoma histopathologically. Postoperative calcium and parathormone levels decreased dramatically to normal levels. Anterior mediastinal localization of an ectopic parathyroid adenoma is a rare entity. The transsternal approach is the most preferred method, but video-thoracoscopy can be used safely and effectively. |
| format | Article |
| id | doaj-art-cf4356800d09418baea4394c9c2e70c2 |
| institution | DOAJ |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2018-05-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-cf4356800d09418baea4394c9c2e70c22025-08-20T03:23:42ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542018-05-0113454655010.5114/wiitm.2018.7589632835Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entityEzel ErşenBurcu KılıçEctopic mediastinal parathyroid adenomas are uncommon. Here, we report the successful thoracoscopic removal of a mediastinal parathyroid adenoma from a patient with hypercalcemia. A 58-year-old female patient was referred to our department with persistent hypercalcemia. Serum calcium and phosphorus levels were 13.2 mg/dl and 2.5 mg/dl respectively, while the intact parathormone level was 798.9 pg/ml. Parathyroid computed tomography revealed a solid and well-defined mass at the anterior mediastinum close to the distal aorta. Once the contrast was enhanced, our pre-diagnosis was ectopic parathyroid adenoma. The mass was detected at the anterior mediastinum, dissected free from the surrounding tissue and excised. The capsulated mass, which had a diameter of 3 × 1.5 × 0.7 cm, was confirmed as parathyroid adenoma histopathologically. Postoperative calcium and parathormone levels decreased dramatically to normal levels. Anterior mediastinal localization of an ectopic parathyroid adenoma is a rare entity. The transsternal approach is the most preferred method, but video-thoracoscopy can be used safely and effectively.https://www.termedia.pl/Thoracoscopic-removal-of-ectopic-mediastinal-parathyroid-adenoma-causing-hyperparathyroidism-a-rare-entity,42,32835,1,1.htmlectopic parathyroid video-thoracoscopy mediastinum |
| spellingShingle | Ezel Erşen Burcu Kılıç Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entity Videosurgery and Other Miniinvasive Techniques ectopic parathyroid video-thoracoscopy mediastinum |
| title | Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entity |
| title_full | Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entity |
| title_fullStr | Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entity |
| title_full_unstemmed | Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entity |
| title_short | Thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism: a rare entity |
| title_sort | thoracoscopic removal of ectopic mediastinal parathyroid adenoma causing hyperparathyroidism a rare entity |
| topic | ectopic parathyroid video-thoracoscopy mediastinum |
| url | https://www.termedia.pl/Thoracoscopic-removal-of-ectopic-mediastinal-parathyroid-adenoma-causing-hyperparathyroidism-a-rare-entity,42,32835,1,1.html |
| work_keys_str_mv | AT ezelersen thoracoscopicremovalofectopicmediastinalparathyroidadenomacausinghyperparathyroidismarareentity AT burcukılıc thoracoscopicremovalofectopicmediastinalparathyroidadenomacausinghyperparathyroidismarareentity |