颈静脉球后咽旁间隙甲状旁腺腺瘤。
An Intravagal Parathyroid Adenoma in the Poststyloid Parapharyngeal Space.
机构信息
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, U.S.A.
出版信息
Laryngoscope. 2021 Feb;131(2):453-456. doi: 10.1002/lary.28961. Epub 2020 Aug 3.
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.
目的
描述一例迷走甲状旁腺腺瘤病例。
病例报告
一名 35 岁男性因症状性原发性甲状旁腺功能亢进和非定位性影像学研究就诊。术中静脉取样显示右颈内静脉内存在明显的梯度。重复成像在颅底咽旁间隙的右侧发现一个增强病变。术中发现迷走甲状旁腺腺瘤。通过神经内的微解剖将腺瘤切除，从而保留了喉功能，并使 ioPTH 适当下降。
结论
神经内甲状旁腺腺瘤极为罕见。本文描述了一例位于茎突后咽旁间隙的迷走甲状旁腺腺瘤的临床、影像学和组织学表现。《喉镜》，131：453-456，2021。
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