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CASE REPORT
Year : 2021  |  Volume : 20  |  Issue : 2  |  Page : 150-153

Mediastinal parathyroid adenoma removal by video-assisted thoracoscopic surgery

Mohammed Shafi Abdulsalam1, Sivagnanasundaram Devanayagam2, Rajan Santosham3, Vijaya Ganapathy2, Maya Menon4, Shelley Simon5
1 Department of Medicine/Hematology, Apollo Main Hospital, Chennai, Tamil Nadu, India
2 Department of Endocrinology, Apollo Main Hospital, Chennai, Tamil Nadu, India
3 Department of Thoracic Surgery, Apollo Main Hospital, Chennai, Tamil Nadu, India
4 Department of Pathology, Apollo Main Hospital, Chennai, Tamil Nadu, India
5 Department of Nuclear Medicine, Apollo Main Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Vijaya Ganapathy
Apollo Main Hospital, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aam.aam_5_20

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Ectopic parathyroid adenomas in the mediastinum are rare causes of primary hyperparathyroidism. We report two cases of mediastinal parathyroid adenoma. Functioning parathyroid lesion was localized with the help of nuclear single-photon emission computed tomography scan in both the patients. Video assisted thoracoscopic surgical (VATS) removal of the parathyroid lesions were done. Intraoperative confirmation of parathyroid adenoma was done by frozen section. Further confirmation was done by routine histopathological examination of specimen postoperatively. One patient had left vocal cord paralysis postoperatively. Localization by functional imaging is essential. Minimally invasive methods such as VATS are useful in removing mediastinal parathyroid hyperfunctioning lesions, which carries early postoperative recovery and less complications.


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