title: Day-case minimally invasive excision of a giant mediastinal parathyroid adenoma.
abstract: 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.
authors.affiliation: Princess Alexandra Hospital NHS Trust, UK.
authors.forename: A
authors.initials: A
authors.lastname: Haldar
authors.forename: A
authors.initials: A
authors.lastname: Thapar
authors.forename: S
authors.initials: S
authors.lastname: Khan
authors.forename: S
authors.initials: S
authors.lastname: Jenkins
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000556:Ambulatory Surgical Procedures; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D061646:Operative Time; D010282:Parathyroid Neoplasms / Q000473:pathology / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods