Giant Cystic Parathyroid Adenoma Masquerading as a Retropharyngeal Abscess
Received Date: Sep 05, 2013 / Accepted Date: Jan 09, 2014 / Published Date: Jan 17, 2014
Abstract
Objective: A case report of a retropharyngeal cystic parathyroid adenoma and a review of its embryology, differential diagnosis and management are presented.
Material and Method: A 34-year-old woman presented with a 2-year history of a right-sided discrete, cystic, submucosal cervical mass displacing the oropharynx anteriorly. MRI showed a large, cystic hyperdense mass occupying the parapharyngeal and retropharyngeal spaces. Surgical resection revealed a right-sided multinodular neck mass originating from the thyroid gland and extending along the prevertebral space and towards the contralateral neck, displacing the pharynx and larynx. Histology was consistent with a cystic parathyroidadenoma.
Discussion: Cystic parathyroid adenoma has rarely been reported and may mimic a retropharyngeal abscess. The unusual location of parathyroid tissue can be explained by its origin from ectopic superior parathyroid glands or tumor extension from parathyroid glands intothe retropharyngeal space.
Conclusion:The differential diagnosis of a retropharyngeal mass should include parathyroid tumours.
Keywords: Parathyroid adenoma, Ectopic parathyroid, Retropharyngeal space, Retropharyngeal abscess
Citation: Diom ES, Fagan JJ, Govender D (2014) Giant Cystic Parathyroid Adenoma Masquerading as a Retropharyngeal Abscess. Otolaryngology 4:154. Doi: 10.4172/2161-119X.1000154
Copyright: © 2014 Diom ES, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Share This Article
Recommended Journals
Open Access Journals
Article Tools
Article Usage
- Total views: 14821
- [From(publication date): 2-2014 - Sep 01, 2024]
- Breakdown by view type
- HTML page views: 10416
- PDF downloads: 4405