Work

Mediastinal Intrathymic Symptomatic Parathyroid Adenoma and Robot-Assisted Thoracoscopic Surgery (RATS) Approach

Year: 2025

Type: article

Abstract: Anterior mediastinal masses, including thymomas, lymphomas, and ectopic parathyroid adenomas, pose diagnostic and therapeutic challenges due to anatomical complexity and diverse aetiologies. Symptoms often stem from local compression, requiring multimodal imaging such as CT, MRI, and PET for accurate diagnosis. Primary hyperparathyroidism, frequently linked to ectopic parathyroid adenomas, causes hypercalcaemia and systemic complications. Traditionally managed via sternotomy, advancements in minimally invasive techniques, particularly video-assisted (VATS) and robot-assisted thoracoscopic surgeries (RATS), have improved outcomes. This report highlights a 50-year-old male patient with hyperparathyroidism and hypercalcaemia who underwent successful RATS for a 2.9 cm anterior mediastinal mass. Postoperatively, his calcium and parathyroid hormone levels normalised, demonstrating RATS as a precise and effective option for complex mediastinal lesions.

Source: Cureus

DOI: 10.7759/cureus.96426

Authors: Jason Calderon Sanchez, Pablo Gomes-da Silva de Rosenzweig, Mostafa Ahmed, Luis-Angel Hernandez-Arenas

Institutions: University Hospital Coventry, University Hospitals Coventry and Warwickshire NHS Trust, Instituto Nacional de Enfermedades Respiratorias

Language: English

Topic: Thyroid and Parathyroid Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4416056458