@article{article_414047, title={Partial Sternotomy Application in Mediastinal Parathyroid Adenomas}, journal={Turkish Journal of Clinics and Laboratory}, volume={9}, pages={114–117}, year={2018}, DOI={10.18663/tjcl.414047}, author={Katrancıoğlu, Özgür and Şahin, Ekber and Karadayı, Şule}, keywords={Mediastinal Paratiroid Adenom,Cerrahi,Parsiyel Sternotomi}, abstract={<p class="MsoNormal"> <b> <span lang="en-us" xml:lang="en-us">Background: </span> </b> <span lang="en-us" xml:lang="en-us">Solitary parathyroid adenomas are the most common cause of primary
hyperparathyroidism. Generally neck exploration is adequate for parathyroid
adenoma surgery, however some of them aren’t </span>accessible using a
cervical approach and sternotomy or thoracotomy can be required. <span lang="en-us" xml:lang="en-us">In this
study we present surgical application of eight cases with mediastinal
parathyroid adenoma. </span> </p> <p> </p> <p class="MsoNormal"> <b> <span lang="en-us" xml:lang="en-us">Material
and Methods: </span> </b> <span lang="en-us" xml:lang="en-us">Between
Jan 2006 - Mar 2018, eight patients who underwent partial sternotomy for
mediastinal parathyroid adenoma in our clinic were included in the study.
Patients’ datas were retrospectively reviewed. Blood tests, radiographic and
scintigraphic methods were performed and the results were reviewed.
Localization of mediastinal
parathyroid adenoma, performed treatment methods and prognosis were
evaluated. </span> </p> <p> </p> <p class="MsoNormal"> <b> <span lang="en-us" xml:lang="en-us">Results: </span> </b> <span lang="en-us" xml:lang="en-us"> </span> <b> <span lang="en-us" xml:lang="en-us">  </span> </b> <span lang="de" xml:lang="de">Seven </span> <span lang="en-us" xml:lang="en-us">of the cases were
female (87.5 </span> <span lang="de" xml:lang="de">%) </span> <span lang="en-us" xml:lang="en-us">and the mean </span> <span lang="de" xml:lang="de">age </span> <span lang="en-us" xml:lang="en-us"> was found to be 49.7 years </span> <span lang="de" xml:lang="de"> (range: 30-64 years). </span> <span lang="en-us" xml:lang="en-us">Bone pain what’s the most
common symptom. All of the patients experienced hypercalcemia and
hyperparathyroidia. PTH and </span> <span lang="de" xml:lang="de">Ca </span> <span lang="en-us" xml:lang="en-us"> values returned to normal in postoperative period. No recurrent or
consistent hyperparathyroidism was seen during follow-up period. No
postsurgical morbidity or mortality developed. </span> </p> <p> </p> <p class="MsoNormal"> <b> <span lang="en-us" xml:lang="en-us">Conclusion: </span> </b> <span lang="en-us" xml:lang="en-us">We claimed
that partial sternotomy is a safe and adequate method for removing <span style="color:#FF0000;"> </span>ectopic mediastinal parathyroid adenomas. </span> </p>}, number={2}, publisher={DNT Ortadoğu Yayıncılık A.Ş.}