ArticleInternational journal of surgery case reports2025
Robotic transthoracic approach to ectopic mediastinal parathyroid adenoma: A case report.
Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionEctopic 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.
conclusionA robotic transthoracic approach demonstrates a safe method for the removal of parathyroid adenomas which are inaccessible transcervically, with low morbidity to patients.
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