Surgical treatment of primary hyperparathyroidism with ectopic parathyroid adenoma in the mediastinum

The paper presents a rare clinical case of a 36-year-old female patient with primary hyperparathyroidism (PHPT) and an ectopic parathyroid adenoma (EPA) in the mediastinum. Ectopic parathyroid adenoma in the mediastinum is found in 1–2% of cases. This is an extremely rare atypical localization as compared with many other possible uncommon locations. Thoracoscopic resection of the adenoma was performed. Pathohistological examination of the postoperative specimen confirmed the preliminary diagnosis. The specimen revealed typical parathyroid adenoma. On the seventh day after surgical treatment the patient was discharged in satisfactory condition.