title: Excision of ectopic mediastinal parathyroid adenoma via parasternal videomediastinoscopy.
abstract: Mediastinum is one of the place in which ectopic parathyroid adenomas can be located.Here, an ectopic mediastinal parathyroid adenoma, which was excised via parasternal videomediastinoscopy was presented. The patient with chronic renal insufficiency had increased calcium levels persistence after the surgery for cervical parathyroid adenoma.Radiologic and scintigraphic examinations revealed a focal intense nodule in anterior mediastinum. Parasternal videomediastinoscopy was performed via parasternal incision through the second intercostal space. Ex-vivo specimen radioactivity measurements and frozen examination confirmed parathyroid adenoma. Calcium levels were decreased dramatically after the operation. Parasternal videomediastinoscopy could be an alternative surgical way in anterior mediastinal small masses such as ectopic parathyroid adenoma. It is the first case in which parasternal videomediastinoscopy was used for excision of mediastinal parathyroid adenoma.
authors.affiliation: Department of Thoracic Surgery, Kocaeli University the Faculty of Medicine, Kocaeli, Turkey.
authors.forename: Serife Tuba
authors.initials: ST
authors.lastname: Liman
authors.forename: Salih
authors.initials: S
authors.lastname: Topcu
authors.forename: Erkan
authors.initials: E
authors.lastname: Dervisoglu
authors.forename: Gozde Daglioz
authors.initials: GD
authors.lastname: Gorur
authors.forename: Aykut
authors.initials: A
authors.lastname: Elicora
authors.forename: Korkmaz
authors.initials: K
authors.lastname: Burc
authors.forename: Asli Gul
authors.initials: AG
authors.lastname: Akgul
mesh_terms: D000236:Adenoma / Q000097:blood / Q000473:pathology / Q000601:surgery*; D002118:Calcium / Q000097:blood; D002828:Choristoma / Q000097:blood / Q000473:pathology / Q000601:surgery*; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000097:blood; D008297:Male; D008479:Mediastinal Neoplasms / Q000097:blood / Q000473:pathology / Q000601:surgery*; D008481:Mediastinoscopy; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000097:blood / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D020535:Video-Assisted Surgery
chemical_list: D002118:Calcium