[Excision of a parathyroid adenoma of the aorto-pulmonary window under thoracoscopy].
OBJECTIVE
Neck exploration is usually required in all cases of primary hyperparathyroidism. Without a precise localization preoperatively cervicotomy may be unsuccessful, especially in case of an ectopic adenoma.


METHODS
A patient with primary hyperparathyroidism due to a solitary adenoma localized in the middle mediastinum was identified on preoperative computed tomography and technetium-99m-sestamibi radionuclide scan. The tumor was successfully removed at thoracoscopy without neck exploration.


CONCLUSIONS
Preoperative localization of primary hyperparathyroid tumors is not indicated in all patients. In some selected cases (acute hypercalcemia, reoperation, serious illness) prior neck exploration would be useful in guiding the surgeon.
Peix
J L
JL
Service de Chirurgie, Hôpital de l'Antiquaille, Lyon.
Van Box Som
P
P
Claeys
K
K
Lapras
V
V
D000236:Adenoma / Q000150:complications / Q000601:surgery*; D002828:Choristoma / Q000150:complications / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D008479:Mediastinal Neoplasms / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D010280:Parathyroid Glands; D011877:Radionuclide Imaging / Q000379:methods; D017256:Technetium Tc 99m Sestamibi; D013906:Thoracoscopy
D017256:Technetium Tc 99m Sestamibi
Exérèse sous thoracoscopie première d'un adénome parathyroïdien de la fenêtre aorto-pulmonaire.