title: Excision of middle mediastinal parathyroid adenoma by videoscopic assisted mediastinoscopy (VAM).
abstract: We report a case involving a female patient with primary hyperparathyroidism arising from a middle mediastinal parathyroid adenoma. Initial diagnosis was made based on a history of polyuria and recurrent renal colic. At the age of 77 she underwent videoscopic assisted mediastinoscopy (VAM) for resection of the adenoma which was localized using single-photon emission computed tomography (SPECT/CT). This case illustrates the importance for accurate pre-operative localization and intra-operative monitoring to ensure complete surgical removal in order to improve postoperative normocalcemia success rates.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Royal Alexandra Hospital, Edmonton, Alberta, Canada.
authors.forename: Rene
authors.initials: R
authors.lastname: Razzak
authors.affiliation: Division of General Surgery, Department of Surgery, University of Alberta Hospital, Edmonton, Alberta, Canada.
authors.forename: Todd
authors.initials: T
authors.lastname: McMullen
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Royal Alexandra Hospital, Edmonton, Alberta, Canada.
authors.forename: Eric L R
authors.initials: EL
authors.lastname: Bédard
keywords: Parathyroid; adenoma; hyperparathyroidism; mediastinum; video assisted mediastinoscopy