Robotic transthoracic approach to ectopic mediastinal parathyroid adenoma: A case report.

INTRODUCTION

Ectopic parathyroid adenomas represent an important cause of refractory hyperparathyroidism. While most ectopic mediastinal parathyroid adenomas can be accessed through a transcervical approach, this is not always feasible, posing a significant challenge.

CASE PRESENTATION

We report the case of a 60-year-old female patient who presented with symptomatic hyperparathyroidism. Sestamibi scan was performed and failed to identify a parathyroid adenoma. Bilateral neck exploration was performed on twice, with normal parathyroid glands excised on both occasions. At this stage, a repeat sestamibi and CT scan revealed a suspected parathyroid adenoma in the mediastinum. A transthoracic robotic parathyroidectomy was performed, and the adenoma successfully excised. A full serological and symptomatic recovery was achieved.

DISCUSSION

Mediastinal parathyroid adenomas can pose significant diagnostic and treatment challenges.

CONCLUSION

A robotic transthoracic approach demonstrates a safe method for the removal of parathyroid adenomas which are inaccessible transcervically, with low morbidity to patients.