갑상선내 부갑상선선종의 자연출혈 1예
A Case of Spontaneous Extracapsular Hemorrhage of Intrathyroidal Parathyroid Adenoma
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Intrathyroidal parathyroid adenoma is an infrequent lesion which can be explained by abnormalities during embryonic migration of the parathyroid glands. Extracapsular hemorrhage from a intrathyroidal parathyroid adenoma is extremely rare, however, due to its location near upper airway, it might cause a life-threatening situation. Therefore, if patients presented with anterior neck painful swelling, skin ecchymosis associated with dysphagia and/or hoarseness, extracapsular hemorrhage from parathyroid adenoma should be considered as a possible diagnosis. Estimation of serum calcium level is essential as the presence of hypercalcemia can help to make the diagnosis pre-operatively. As rupture of a parathyroid adenoma and cyst may lead to local dissemination of tumor cells and an increased risk of recurrent hyperparathyroidism, careful longterm follow-up is required. We report an unusual case of spontaneous rupture of intrathyroidal parathyroid adenoma with a review of literature. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:245-7
Abstract
Intrathyroidal parathyroid adenoma is an infrequent lesion which can be explained by abnormalities during embryonic migration of the parathyroid glands. Extracapsular hemorrhage from a intrathyroidal parathyroid adenoma is extremely rare, however, due to its location near upper airway, it might cause a life-threatening situation. Therefore, if patients presented with anterior neck painful swelling, skin ecchymosis associated with dysphagia and/or hoarseness, extracapsular hemorrhage from parathyroid adenoma should be considered as a possible diagnosis. Estimation of serum calcium level is essential as the presence of hypercalcemia can help to make the diagnosis pre-operatively. As rupture of a parathyroid adenoma and cyst may lead to local dissemination of tumor cells and an increased risk of recurrent hyperparathyroidism, careful longterm follow-up is required. We report an unusual case of spontaneous rupture of intrathyroidal parathyroid adenoma with a review of literature. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:245-7
참고문헌 (15)
- Jaskowiak N, "A prospective trial evaluating a standard approach to reoperation for missed parathyroid adenoma", Ann Surg, 224(3), pp.308~320 (1996)
- Santos GH, "Ruptured intrathoracic parathyroid adenoma", Chest, 68(6), pp.844~646 (1975)
- Abboud B, "Intrathyroid parathyroid adenoma in primary hyperparathyroidism: can it be predicted preoperatively?", World J Surg, 31(4), pp.817~823 (2007)
- Kaplan EL, "Primary hyperparathyroidism in the 1990s. Choice of surgical procedures of this disease", Ann Surg, 215(4), pp.300~317 (1992)
- Taniguchi I, "Spontaneous retropharyngeal hematoma of a parathyroid cyst: report of a case", Surg Today, 33(5), pp.354~357 (2003)
- Ku P, "Spontaneous retropharyngeal hematoma in a parathyroid adenoma", Aust N Z J Surg, 68(8), pp.619~621 (1998)
- Simcic KJ, "Massive extracapsular hemorrhage from a parathyroid cyst", Arch Surg, 124(11), pp.1347~1350 (1989)
- Merante-Boschin I, "Neck emergency due to parathyroid adenoma bleeding: a case report", J Med Case Reports, 3, pp.7404~ (2009)
- Grimley RP, "Intrathyroid cystic parathyroid adenoma: a rare case of hyperparathyroidism", Br J Surg, 64(11), pp.798~799 (1997)
- Halenka M, "Cystic parathyroid adenoma within multinodular goiter: a rare cause of primary hyperparathyroidism", J Clin Ultrasound, 36(4), pp.243~246 (2008)
- Feliciano DV, "Parathyroid pathology in an intrathyroidal position", Am J Surg, 164(5), pp.496~500 (1992)
- Randel SB, "Parathyroid variants: US evaluation", Radiology, 165(1), pp.191~194 (1987)
- Kobayashi T, "Hyperfunctioning intrathyroid parathyroid adenoma: report of two cases", Surg Today, 29(8), pp.766~768 (1999)
- Ulanovski D, "Preoperative evaluation of patients with parathyroid adenoma: role of high-resolution ultrasonography", Head Neck, 24(1), pp.1~5 (2002)
- Locchi F, "A controversial problem: is there a relationship between parathyroid hormone level and a parathyroid size in primary hyperparathyroidism?", Int J Biol Markers, 12(3), pp.106~111 (1997)