가역적 성대마비의 원인이 된 비활성 부갑상선 선종 1예
A Case of Temporary Vocal Cord Paralysis Caused by Non-Functioning Parathyroid Adenoma
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Parathyroid adenoma is the most common cause of primary hyperparathyroidism with symptoms of fatigue, bone pain, abdominal pain, weakness, dyspepsia, and skeletal bone disease. However, vocal cord paralysis caused by parathyroid adenoma is extremely rare. A 72-year-old male presented with intermittent voice change for 10 years. Laryngeal endoscopy showed right vocal cord paralysis. Computed tomography revealed a 4 mm sized lesion behind of right thyroid. Fine needle aspiration was undertaken and the histology result was a parathyroid adenoma. We excised the parathyroid adenoma adjacent to the right recurrent laryngeal nerve. After excision of parathyroid adenoma, vocal cord paralysis has returned to normal. The patient is under observation for 6 months without recurrence. We report our experience of one rare case of parathyroid adenoma as a cause of vocal cord paralysis.
Abstract
Parathyroid adenoma is the most common cause of primary hyperparathyroidism with symptoms of fatigue, bone pain, abdominal pain, weakness, dyspepsia, and skeletal bone disease. However, vocal cord paralysis caused by parathyroid adenoma is extremely rare. A 72-year-old male presented with intermittent voice change for 10 years. Laryngeal endoscopy showed right vocal cord paralysis. Computed tomography revealed a 4 mm sized lesion behind of right thyroid. Fine needle aspiration was undertaken and the histology result was a parathyroid adenoma. We excised the parathyroid adenoma adjacent to the right recurrent laryngeal nerve. After excision of parathyroid adenoma, vocal cord paralysis has returned to normal. The patient is under observation for 6 months without recurrence. We report our experience of one rare case of parathyroid adenoma as a cause of vocal cord paralysis.
참고문헌 (8)
- Kamali D, "Non-functioning parathyroid adenoma: a rare differential diagnosis for vocal-cord paralysis", Ann R Coll Surg Engl, 98(6), pp.e94~e96 (2016)
- Lee JC, "Parathyroid adenoma as a cause of vocal fold paralysis", Arch Otolaryngol Head Neck Surg, 135(7), pp.712~713 (2009)
- Gluckman JL, "Renewal of Certification Study Guide in Otolaryngology Head and Neck Surgery", pp.1998, Kendall
- McCall AR, "Improvement of vocal cord paresis after thyroidectomy", Am Surg, 53(7), pp.377~379 (1987)
- Takimoto T, "Intravagal parathyroid adenoma", J Laryngol Otol, 103(7), pp.704~706 (1989)
- Iwasaki K, "Sudden recurrent laryngeal nerve paralysis due to apoplexy of parathyroid adenoma", Auris Nasus Larynx, 26(1), pp.101~104 (1999)
- Angelos P, "Spontaneous vocal cord paresis and return to normocalcemia: an unusual presentation of parathyroid adenoma with concomitant abscess", Surgery, 121(6), pp.704~707 (1997)
- Sen P, "A benign parathyroid cyst presenting with hoarse voice", J Laryngol Otol, 114(2), pp.147~148 (2000)