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Ann Thorac Surg 2007;84:1754-1756. doi:10.1016/j.athoracsur.2007.05.055
© 2007 The Society of Thoracic Surgeons
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Right arrow Mediastinum

Case Reports

Excision of Postesophageal Parathyroid Adenoma in Posterior Mediastinum With Intraoperative 99mTechnetium Sestamibi Scanning

Toshihisa Ogawa, MD, PhD*, Ei-ichi Tsuji, MD, Hajime Kanauchi, MD, PhD, Kazuhiko Yamada, MD, Yoshikazu Mimura, MD, PhD, Michio Kaminishi, MD, PhD

Department of Endocrine Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Accepted for publication May 7, 2007.

* Address correspondence to Dr Ogawa, Department of Endocrine Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan (Email: e05021{at}h.u-tokyo.ac.jp).

Although approximately 25% of parathyroid tumors in patients with primary hyperparathyroidism are located in the mediastinum, nearly all these tumors can be removed through cervical exploration. However, 1% to 2% of the mediastinal tumors require a transthoracic approach for removal. The mediastinal tumors are usually located in the inferior parathyroid gland, and the ectopic mediastinal tumors derived from the superior glands are extremely rare. We present a case of retroesophageal mediastinal parathyroid adenoma that developed in the left superior parathyroid gland. A thoracotomy was required to remove this tumor. Radioisotope-guided surgery was effective at identifying the tumor.






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Copyright © 2007 by The Society of Thoracic Surgeons.