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Thorac Cardiovasc Surg 2022; 70(07): 596-600
DOI: 10.1055/s-0042-1750026
Short Communication

Perioperative Clinical Features of Mediastinal Parathyroid Adenoma: A Case Series

Fuqiang Wang   †
1   Department of Thoracic Surgery, Sichuan University West China Hospital, Chengdu, Sichuan, China
,
Hanlu Zhang   †
1   Department of Thoracic Surgery, Sichuan University West China Hospital, Chengdu, Sichuan, China
,
Guanghao Qiu
1   Department of Thoracic Surgery, Sichuan University West China Hospital, Chengdu, Sichuan, China
,
Yun Wang 
1   Department of Thoracic Surgery, Sichuan University West China Hospital, Chengdu, Sichuan, China
› Institutsangaben Funding This study was supported by the 1·3·5 project for disciplines of Excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University (No. 2021HXFH056), the grants from the Key Research Project of Sichuan Province (No. 2020YFS0249), and grants from National Key Research Project of China (No. 2017YFC0113502).
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Abstract

Rare ectopic mediastinal parathyroid adenoma can result in persistent or recurrent hyperparathyroidism. In this article, we summarized the perioperative outcomes of six patients with mediastinal parathyroid adenoma. All patients underwent minimally invasive surgery (MIS). Abnormal accumulation of sestamibi was observed in four of five patients for preoperative localization of adenoma. Postoperatively, the blood calcium dropped quickly. In addition, we found adenoma function was negatively related to adenoma volume in these patients. In conclusion, although MIS is feasible for parathyroid adenoma, blood calcium should be monitored in a timely manner to avoid hypocalcemia postoperatively. In addition, sestamibi might be a potential pitfall when locating parathyroid adenoma.

Keywords

Parathyroid adenoma - mediastinum - parathyroidectomy

† These authors contributed equally to this work.




Publikationsverlauf

Eingereicht: 14. Januar 2022

Angenommen: 04. April 2022

Artikel online veröffentlicht:
28. Juli 2022

© 2022. Thieme. All rights reserved.

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