Transcervical resection of two parathyroid adenomas located on the anterior mediastinum
Osman Toktaş1, Ümit İliklerden1, Baran Yerlikaya1, Çetin Kotan1, Abdussamet Batur2
1Department of General Surgery, Yüzüncü Yıl University School of Medicine, Van, Turkey
2Department of Radiology, Yüzüncü Yıl University School of Medicine, Van, Turkey
The mediastinum is a possible location of ectopic parathyroid adenoma. Most ectopic parathyroid glands in the mediastinum are found in the superior mediastinum within the thymus. In this article, two cases with ectopic mediastinal parathyroid adenomas that were excised via transcervical resection are presented. Preoperative examination of the two cases was performed. Laboratory tests supported hyperparathyroidism. For both patients, the results of radiologic and scintigraphic examinations of the cases were compatible with parathyroid adenoma masses in the anterior mediastinum. Transcervical resection was performed via suprasternal incision through the sternal notch and the posterior wall of the sternum space by blunt dissection with the finger. The soft lesions were removed en bloc in both cases. The parathyroid hormone levels of the two cases decreased dramatically after the operation.
Transcervical resection may be an alternative method to major surgery in anterior mediastinal small masses.
Keywords: Mediastinum, ectopic parathyroid adenoma, transcervical resection, minimally invasive surgery
This study was presented at the 19th National Congress of Surgery, 16-20 April 2014, Antalya, Turkey.
Cite this paper as: Toktaş O, İliklerden Ü, Yerlikaya B, Kotan Ç, Batur A. Transcervical resection of two parathyroid adenomas located on the anterior mediastinum. Turk J Surg 2018; 10.5152/turkjsurg.2017.3270
Written informed consent was obtained from patient who participated in this study.
Concept -O.T., Ç.K., Ü.İ.; Design - O.T., A.B., Ç.K.; Supervision - Ü.İ., B.Y., O.T.; Resource - B.Y.,Ü.İ., O.T., A.B.; Materials - O.T., Ç.K., A.B.; Data Collection and/or Processing - A.B., O.T., B.Y.; Analysis and/or Interpretation - Ü.İ., B.Y.,O.T., A.B.; Literature Search - O.T., A.B.; Writing Manuscript - O.T., A.B.; Critical Reviews - Ç.K., A.B.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.