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Uncommon presentations of parathyroid adenoma
Author(s) -
Givens Daniel J.,
Hunt Jason P.,
Bentz Brandon G.
Publication year - 2013
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23124
Subject(s) - medicine , asymptomatic , otorhinolaryngology , parathyroid adenoma , differential diagnosis , surgery , paralysis , recurrent laryngeal nerve , radiology , primary hyperparathyroidism , thyroid , pathology
Abstract Background Patients with parathyroid adenomas (PAs) are commonly encountered in otolaryngology and may present with asymptomatic hypercalcemia. Retropharyngeal hematoma and recurrent laryngeal nerve (RLN) paralysis are less commonly encountered presentations and may be harbingers of a malignant process. Methods and Results We present 2 patients with rare presentations of parathyroid adenoma. The first is a 57‐year‐old man with retropharyngeal hemorrhage and progressive airway compromise. The second is a 51‐year‐old woman presenting with dysphonia who was found to have RLN paralysis. Both of these patients were found to have benign disease. Conclusions Although most patients with PA present with asymptomatic hypercalcemia, this disease entity must be considered in patients with other unusual presentations including hemorrhagic neck masses and dysphonia. The importance of a broad differential diagnosis and thorough workup is emphasized. © 2012 Wiley Periodicals, Inc. Head Neck, 2013