Transcervical resection of two parathyroid adenomas located on the anterior mediastinum

Özet

The mediastinum is a possible location of ectopic parathyroid adenoma. Most ectopic parathyroid glands in themediastinum are found in the superior mediastinum within the thymus. In this article, two cases with ectopic mediastinal parathyroid adenomas that were excised via transcervical resection are presented. Preoperative examinationof the two cases was performed. Laboratory tests supported hyperparathyroidism. For both patients, the results ofradiologic and scintigraphic examinations of the cases were compatible with parathyroid adenoma masses in theanterior mediastinum. Transcervical resection was performed via suprasternal incision through the sternal notchand the posterior wall of the sternum space by blunt dissection with the finger. The soft lesions were removed enbloc in both cases. The parathyroid hormone levels of the two cases decreased dramatically after the operation.Transcervical resection may be an alternative method to major surgery in anterior mediastinal small masses.