Abstract
We report the case of a 27-year-old man treated for ectopic mediastinal parathyroid adenoma with 99mTc-MIBI and radioguided thoracoscopic surgery. The patient had elevated serum calcium levels, normal parathyroid hormone levels, decreased serum phosphate levels and a history of recurrent urinary stone colic annually. Therefore, thoracoscopic removal of the mediastinal tumors was suggested. Prior to surgery, he was given 600 MBq of 99mTc-MIBI by injection, and tumor identification was checked. Thus thoracoscopy was performed under gamma probe guidance. Radioguided thoracoscopic surgery with 99mTc-MIBI is a safe and effective method for treating ectopic mediastinal parathyroid adenomas.
