Department of Surgery, Division of Otolaryngology, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Head Neck. 2013 Sep;35(9):E265-8. doi: 10.1002/hed.23124. Epub 2012 Aug 21.
Patients with parathyroid adenomas (PAs) are commonly encountered in otolaryngology and may present with asymptomatic hypercalcemia. Retropharyngeal hematoma and recurrent laryngeal nerve (RLN) paralysis are less commonly encountered presentations and may be harbingers of a malignant process.
We present 2 patients with rare presentations of parathyroid adenoma. The first is a 57-year-old man with retropharyngeal hemorrhage and progressive airway compromise. The second is a 51-year-old woman presenting with dysphonia who was found to have RLN paralysis. Both of these patients were found to have benign disease.
Although most patients with PA present with asymptomatic hypercalcemia, this disease entity must be considered in patients with other unusual presentations including hemorrhagic neck masses and dysphonia. The importance of a broad differential diagnosis and thorough workup is emphasized.
甲状旁腺腺瘤（PAs）在耳鼻喉科中较为常见，可表现为无症状性高钙血症。咽后血肿和喉返神经（RLN）麻痹较少见，可能是恶性过程的先兆。
我们介绍了 2 例甲状旁腺腺瘤的罕见表现。第一个是一名 57 岁男性，表现为咽后出血和进行性气道阻塞。第二个是一名 51 岁女性，表现为声音嘶哑，发现有 RLN 麻痹。这两名患者均被诊断为良性疾病。
尽管大多数 PA 患者表现为无症状性高钙血症，但对于其他不常见的表现，包括颈部出血性肿块和声音嘶哑，应考虑到这种疾病。强调了广泛鉴别诊断和彻底检查的重要性。
