Mediastinal parathyroid adenoma
Hamza Cinar1, Ismail Alper Tarım2, Gökhan Selcuk Ozbalci2, Sercan Büyükakıncak3, Burcin Celik4, Cafer Polat2
1Kurtalan State Hospital General Surgery Department, Siirt
2 Ondokuz Mayis University Medical Faculty General Surgery Department, Samsun
3Ergani State Hospital General Surgery Department, Diyarbakır
4Ondokuz Mayis University Medical Faculty Thoracic Surgery Department, Samsun
Keywords: Ectopic parathyroid adenoma, median sternotomy, primary hyperparathyroidism
Primary hyperparathyroidism(PH) is most commonly caused by parathyroid adenoma and 1-3% of these parathyroid adenomas can be found ectopically. Approximately 20% of all ectopic parathyroid glands are present in the mediastinum, and 2% of these are not accessible through a cervical incision. These cases require sternotomy or thoracotomy. We report the rare case of a 23-year-old patient with PH due to an ectopic mediastinal parathyroid adenoma located in the anterior mediastinum between the ascending aort and sternum. Surgical resection of adenoma was performed through a partial sternotomy. Serum Ca and Parathormone(PTH) levels returned within normal range postoperatively.