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Erschienen in: European Surgery 5/2016

01.10.2016 | case report

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

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

Erschienen in: European Surgery | Ausgabe 5/2016

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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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Metadaten
Titel
Video-assisted mediastinoscopic removal of ectopic parathyroid adenoma combined with standard cervical exploration
verfasst von
Petr Libánský
Danylo Yershov
Svatopluk Adámek
Jan Šimonek
Martina Fialová
Jozef Kubinyi
Robert Lischke
Publikationsdatum
01.10.2016
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 5/2016
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-016-0413-5