Kane Anne C, Walvekar Rohan R, Hotaling Jeffrey M
Department of Otolaryngology Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Department of Otolaryngology - Head and Neck Surgery, Wayne State University, Detroit, MI, USA.
J Robot Surg. 2019 Apr;13(2):335-338. doi: 10.1007/s11701-018-0843-0. Epub 2018 Jul 9.
Transoral robotic surgery (TORS) has become an increasingly popular option for early malignancies of the oropharynx. It offers superior visualization and has been proven to have acceptable functional and oncologic outcomes. Additionally, indications in head neck have expanded to manage tumors of the thyroid, neck, parapharyngeal space and salivary glands. A 58-year-old female had an incidental finding on CT imaging of a retropharyngeal mass at the level of the hyoid bone. She was referred to a tertiary medical center for further workup and removal of this mass. Due to the midline position of the mass, favorable access and potentially decreased surgical morbidity, TORS excision of the mass was performed for diagnosis and treatment. Histopathology confirmed this to be a hypercellular parathyroid mass consistent with parathyroid adenoma. We report a relatively unusual location of parathyroid adenoma in an asymptomatic patient with normal parathyroid and calcium levels. TORS proves to be a feasible and safe method for complete surgical excision of retropharyngeal parathyroid adenoma without tumor spillage or violation.
经口机器人手术（TORS）已成为口咽早期恶性肿瘤越来越受欢迎的治疗选择。它提供了卓越的视野，并且已被证明具有可接受的功能和肿瘤学结果。此外，头颈部的适应证已扩展到治疗甲状腺、颈部、咽旁间隙和唾液腺的肿瘤。一名58岁女性在CT成像中偶然发现舌骨水平的咽后肿块。她被转诊至三级医疗中心进行进一步检查和切除该肿块。由于肿块位于中线位置，手术入路良好且潜在手术并发症可能减少，遂采用TORS切除该肿块以进行诊断和治疗。组织病理学证实这是一个细胞增多的甲状旁腺肿块，符合甲状旁腺腺瘤。我们报告了一例甲状旁腺腺瘤位于相对不寻常的位置，患者无症状，甲状旁腺和钙水平正常。TORS被证明是一种可行且安全的方法，可完整手术切除咽后甲状旁腺腺瘤，无肿瘤溢出或侵犯。
