Introduction: Mediastinal parathyroid adenomas are uncommon and present a challenge in the treatment
of hyperparathyroidism. They are not always demonstrated on standard pre-operative
imaging and represent one possible cause of failure to cure at primary surgery. They
traditionally necessitate a manubriotomy or sternotomy which is associated with the
additional potential morbidity related to bone cutting and with a cosmetically undesirable
incision that is at odds with the size of the culprit gland.
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© 2017 Published by Elsevier Inc.
