An Intravagal Parathyroid Adenoma in the Poststyloid Parapharyngeal Space
Autor: | Deepa Danan, David C. Shonka |
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Rok vydání: | 2020 |
Předmět: |
Hyperparathyroidism
medicine.medical_specialty endocrine system diseases Adenoma business.industry medicine.disease 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology 030220 oncology & carcinogenesis Ectopic parathyroid Enhancing Lesion Parapharyngeal space Medicine Radiology 030223 otorhinolaryngology business Primary hyperparathyroidism Microdissection Parathyroid adenoma |
Zdroj: | The Laryngoscope. 131:453-456 |
ISSN: | 1531-4995 0023-852X |
DOI: | 10.1002/lary.28961 |
Popis: | OBJECTIVES Describe a case of an intravagal parathyroid adenoma. CASE A 35-year-old male presented with symptomatic primary hyperparathyroidism and non-localizing imaging studies. Intraoperative venous sampling revealed a substantial gradient within the right internal jugular vein. Repeat imaging identified an enhancing lesion in the right parapharyngeal space at the skull base. An intravagal parathyroid adenoma was discovered intraoperatively. Microdissection of the adenoma out of the nerve allowed preservation of laryngeal function and an appropriate drop in ioPTH. CONCLUSIONS Intraneural parathyroid adenomas are exceedingly rare. The clinical, radiologic, and histologic findings of an intravagal parathyroid adenoma in the post-styloid parapharyngeal space are described. Laryngoscope, 131:453-456, 2021. |
Databáze: | OpenAIRE |
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