Thoracoscopic approach in the treatment of ectopic thymic parathyroid adenoma

Virgilijus Beiša; Neringa Pranskevičiūtė; Gabija Makūnaitė; Kęstutis Strupas

doi:10.5114/wiitm.2018.73331

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abstract:

Case report

Thoracoscopic approach in the treatment of ectopic thymic parathyroid adenoma

Virgilijus Beiša

,

Neringa Pranskevičiūtė

,

Gabija Makūnaitė

,

Kęstutis Strupas

Videosurgery Miniinv 2018; 13 (2): 270–277

DOI: https://doi.org/10.5114/wiitm.2018.73331

Online publish date: 2018/02/07

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Primary hyperparathyroidism is overproduction of parathyroid hormone, causing hypercalcemia. Parathyroid adenomas have been found to be the etiology for 80% of cases of primary hyperparathyroidism, while almost a quarter of them are ectopic. We present a case of ectopic thymic parathyroid adenoma, treated by the thoracoscopic approach. Preoperative computed tomogram and technetium-99-sestamibi imaging showed an adenoma, located in the front mid-mediastinum, approximately 8 × 10 mm in size. Resection of the tumor was indicated according to the persistent hypercalcemia after unsuccessful surgical treatment performed 3 years ago. It was decided to perform a parathyroidectomy during thoracoscopy. The diagnosis of parathyroid adenoma was established on postoperative histopathology staining. The patient was discharged from hospital 5 days after the surgery. We found this minimally invasive operation to be an effective and well-tolerated treatment option, determined by the experience of the surgeon.

keywords:

Thoracoscopic approach in the treatment of ectopic thymic parathyroid adenoma

Virgilijus Beiša , Neringa Pranskevičiūtė , Gabija Makūnaitė , Kęstutis Strupas

primary hyperparathyroidism, thoracoscopic surgery, parathyroidectomy, ectopic parathyroid

Virgilijus Beiša

,

Neringa Pranskevičiūtė

,

Gabija Makūnaitė

,

Kęstutis Strupas