Sudden Odynophagia and Globus-A Unique Presentation of a Nonsecreting Parathyroid Adenoma: A Case Report and Literature Review.

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2020-12-29 eCollection Date: 2020-01-01 DOI:10.1155/2020/6805805
Luxman Srikantha, Esmael H Amjad, Rafic Beydoun
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Abstract

Parathyroid adenomas are most commonly diagnosed when symptoms consistent with primary hyperparathyroidism arise. However, certain parathyroid glands may enlarge without such symptoms. Described here is a case in which a patient presented with acute signs of unilateral cervical point tenderness, dysphagia, and odynophagia. Calcium and parathyroid hormone levels tested within normal range. Imaging revealed an enlarged right-sided mass, with compression of the trachea-esophageal groove and potentially the right recurrent laryngeal nerve. Surgical excision was performed, and final pathology revealed an infarcted parathyroid adenoma. Clinical symptoms promptly resolved thereafter. Current NIH criteria for parathyroidectomy include various symptoms of hyperparathyroidism but do not include the above findings. Nonsecreting parathyroid adenomas rarely cause laryngeal symptoms, as this has only been documented once before.

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非分泌性甲状旁腺腺瘤的独特表现:突发性咽涎和球状物:1例报告和文献复习。
甲状旁腺瘤是最常见的诊断症状符合原发性甲状旁腺功能亢进出现。然而,某些甲状旁腺可能增大而无此类症状。这里描述了一个病例,患者表现出单侧颈椎点压痛、吞咽困难和吞咽困难的急性症状。钙和甲状旁腺激素水平正常。影像显示右侧肿物,压迫气管-食管沟,并可能压迫右侧喉返神经。手术切除,最终病理显示梗死甲状旁腺瘤。临床症状随即消失。目前的NIH甲状旁腺切除术标准包括甲状旁腺功能亢进的各种症状,但不包括上述发现。非分泌性甲状旁腺瘤很少引起喉部症状,因为这种情况以前只记录过一次。
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Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
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审稿时长
13 weeks
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