软腭异位甲状旁腺腺瘤：一例报告

Ectopic parathyroid adenoma in the soft palate: a case report.

作者信息

Chang Brent A, Sharma Anil, Anderson Donald W

机构信息

Division of Otolaryngology-Head & Neck Surgery, University of British Columbia, 2775 Laurel St., 4th floor Otolaryngology (ENT), Vancouver, BC, V5Z 1M9, Canada.

Division of Otolaryngology-Head & Neck Surgery, University of Saskatchewan, Saskatoon, Canada.

出版信息

J Otolaryngol Head Neck Surg. 2016 Oct 18;45(1):53. doi: 10.1186/s40463-016-0165-z.

DOI:10.1186/s40463-016-0165-z

PMID:27756384

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5069995/

Abstract

BACKGROUND

Ectopic parathyroid adenomas can occur in numerous anatomic locations. While ectopic parathyroid adenomas can rarely occur in the pharyngeal region, this has not previously been described in the soft palate.

CASE PRESENTATION

We report the first case of ectopic parathyroid adenoma within the soft palate. A 59 year old woman presented with hyperparathyroidism. She remained persistently hyperparathyroid after initial parathyroidectomy. Repeat exploration for a lesion suspicious on PET-CT for an ectopic parathyroid adenoma in the parapharyngeal region was unsuccessful in treating the hyperparathyroidism. An ectopic adenoma in the soft palate was eventually discovered. Removal through a transoral approach was successful in treating the hyperparathyroidism.

CONCLUSIONS

Ectopic parathyroid adenomas can occur in various anatomical locations that may be missed even with the use of the various imaging modalities. The soft palate should be added to the list of possible ectopic locations high in the neck.

摘要

背景

异位甲状旁腺腺瘤可发生于众多解剖部位。虽然异位甲状旁腺腺瘤很少发生于咽部区域，但此前软腭部位尚未见相关报道。

病例报告

我们报告首例发生于软腭的异位甲状旁腺腺瘤。一名59岁女性因甲状旁腺功能亢进就诊。初次甲状旁腺切除术后，她的甲状旁腺功能仍持续亢进。对PET-CT检查怀疑位于咽旁区域的异位甲状旁腺腺瘤进行再次探查，未能成功治疗甲状旁腺功能亢进。最终发现软腭处有一个异位腺瘤。经口入路切除该腺瘤成功治愈了甲状旁腺功能亢进。