梨状窦异位甲状旁腺腺瘤
Ectopic parathyroid adenoma in the pyriform sinus.
作者信息
Kim Jonathan, Cubangbang Maricel, Adkins Lacey, Chia Stanley, DeKlotz Timothy R, Boyle Lisa, Davidson Bruce
机构信息
Department of Otolaryngology - Head and Neck Surgery, MedStar Georgetown University Hospital, Georgetown University Medical Center, Washington, DC.
Department of Otolaryngology, MedStar Washington Hospital Center, Washington, DC.
出版信息
Head Neck. 2017 Oct;39(10):E110-E113. doi: 10.1002/hed.24878. Epub 2017 Jul 25.
BACKGROUND
Ectopic parathyroid glands may complicate the surgical approach to primary hyperparathyroidism. We describe a rare ectopic parathyroid location, the pyriform sinus.
METHODS
Three patients, 2 after prior unsuccessful parathyroid exploration, were found to have ectopic parathyroid adenomas in the pyriform sinus. Two cases were identified by 4D-CT of the neck. The other was localized by a technetium 99m sestamibi single photon emission CT (SPECT). In each case, office endoscopy confirmed the lesions. The patients were treated by either transoral laser or robotic resection of the parathyroid adenoma.
RESULTS
After surgery, the patients had resolution of their hyperparathyroidism.
CONCLUSION
Ectopic parathyroid adenomas in the pyriform sinus are rare, but should be considered in those patients who have had a failed neck exploration and in those who undergo 4D-CT scanning or SPECT scanning.
背景
异位甲状旁腺可能使原发性甲状旁腺功能亢进症的手术治疗变得复杂。我们描述了一种罕见的异位甲状旁腺位置，即梨状窝。
方法
3例患者，其中2例先前甲状旁腺探查未成功，被发现梨状窝存在异位甲状旁腺腺瘤。2例通过颈部4D-CT确诊。另一例通过锝99m甲氧基异丁基异腈单光子发射计算机断层扫描（SPECT）定位。每例患者经门诊内镜检查证实病变。患者接受经口激光或机器人甲状旁腺腺瘤切除术治疗。
结果
手术后，患者甲状旁腺功能亢进症状消失。
结论
梨状窝异位甲状旁腺腺瘤罕见，但对于颈部探查失败以及接受4D-CT扫描或SPECT扫描的患者应予以考虑。
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