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| http://dx.doi.org/10.1097/00000658-197308000-00010 | DOI Listing |
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Characterisation of Kürsteiner canals of parathyroid: imparting relevance to a one-and-a-quarter-century-old concept.
Histopathology
February 2025
Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Article Synopsis
- Kürsteiner canals (KC) are embryological remnants linked to parathyroid and thymic development, with ongoing research aimed at understanding their role in various parathyroid lesions and cysts.
- A study evaluated 62 cystic and 22 non-cystic parathyroid lesions over a 12-year period, identifying distinct KC phenotypes in relation to the presence of parathyroid hormone (PTH).
- The findings reveal that KC commonly appear in parathyroids, particularly in non-PTH cysts, and suggest that these manifestations may originate from KC, while PTH-positive cysts are associated with different characteristics.
Robotic-assisted ectopic mediastinal parathyroidectomy: a single institution experience and operative review for the thoracic surgeon.
J Thorac Dis
July 2024
Division of Cardiothoracic Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Background: Parathyroidectomy remains the only definitive cure for primary hyperparathyroidism (PHPT). In rare cases, ectopic hyperfunctioning glands are located in the mediastinum, necessitating a thoracic surgical approach. The objective of this project was to review a single high-volume institutional experience of this presentation, with specific attention to the use of a robotic-assisted thoracic surgery (RATS) approach.
View Article and Find Full Text PDFPrimary hyperparathyroidism caused by a tiny mediastinal parathyroid adenoma with non-localising imaging studies.
BMJ Case Rep
July 2024
Department of Ophtalmology, Otolaryngology, Head and Neck Surgery, University of Sao Paulo Faculty of Medicine of Ribeirao Preto, Ribeirao Preto, Brazil.
Variations in parathyroid gland positions often cause failure in initial parathyroid adenoma surgery, especially when imaging fails to localise the adenoma. This report describes a female patient with primary hyperparathyroidism for which preoperative localisation studies did not determine the position of the hyperfunctioning gland. The initial approach with bilateral cervical exploration and intraoperative parathyroid hormone monitoring was performed unsuccessfully.
View Article and Find Full Text PDFVideo-Assisted Thoracoscopic Surgery Is a Safe and Feasible Technique for Mediastinal Parathyroid Lesions.
J Laparoendosc Adv Surg Tech A
August 2024
Department of Cardiovascular and Thoracic Surgery, West Virginia University Heart and Vascular Institute, Morgantown, West Virginia, USA.
Hyperfunctional ectopic parathyroid glands in the mediastinum pose a challenge to diagnosis and require optimal surgical management. Video-assisted thoracoscopic surgery (VATS) has emerged as a promising minimally invasive approach, offering potential benefits in terms of both patient comfort and oncological principles. This study aimed to evaluate the effectiveness and safety of VATS for the treatment of hyperfunctional ectopic parathyroid glands in the mediastinum.
View Article and Find Full Text PDFThoracoscopic resection of paraesophageal ectopic mediastinal parathyroid adenoma in the superior posterior mediastinum: a case report.
J Cardiothorac Surg
April 2024
Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow University, Suzhou, 215000, China.
Article Synopsis
- Ectopic superior parathyroid glands can be found in rare locations such as the tracheoesophageal groove, leading to hyperparathyroidism that may require surgical removal.
- Traditional surgical methods involve more invasive approaches, while new minimally invasive techniques like thoracoscopic resection are emerging as effective alternatives.
- A case study demonstrated that video-assisted thoracoscopic surgery (VATS) not only effectively treated an ectopic parathyroid gland but also reduced complications and costs associated with the procedure.
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