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KMID : 0361020100530040245
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Korean Journal of Otolaryngology - Head and Neck Surgery
2010 Volume.53 No. 4 p.245 ~ p.247
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A Case of Spontaneous Extracapsular Hemorrhage of Intrathyroidal Parathyroid Adenoma
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Choi Ji-Young
Yoo Hwa-Jong
Park Young-Hak
Cho Seung-Ho
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Abstract
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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.
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KEYWORD
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Intrathyroidal parathyroid adenoma, Hemorrhage
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