Liman Serife Tuba, Topcu Salih, Dervisoglu Erkan, Gorur Gozde Daglioz, Elicora Aykut, Burc Korkmaz, Akgul Asli Gul
Department of Thoracic Surgery, Kocaeli University the Faculty of Medicine, Kocaeli, Turkey.
Ann Thorac Cardiovasc Surg. 2014;20(1):67-9. doi: 10.5761/atcs.cr.12.01960. Epub 2012 Nov 30.
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.
纵隔是异位甲状旁腺腺瘤可能出现的部位之一。在此，展示了一例经胸骨旁电视纵隔镜切除的异位纵隔甲状旁腺腺瘤。该慢性肾功能不全患者在接受颈部甲状旁腺腺瘤手术后血钙水平持续升高。影像学和闪烁扫描检查显示前纵隔有一个局灶性强化结节。通过胸骨旁第二肋间切口进行胸骨旁电视纵隔镜检查。体外标本放射性测量和冰冻检查证实为甲状旁腺腺瘤。术后血钙水平显著下降。胸骨旁电视纵隔镜检查可为切除前纵隔小肿块如异位甲状旁腺腺瘤提供一种替代手术方式。这是首例使用胸骨旁电视纵隔镜切除纵隔甲状旁腺腺瘤的病例。
