alexa Giant Cystic Parathyroid Adenoma Masquerading as a Retropharyngeal Abscess
ISSN: 2161-119X

Otolaryngology: Open Access
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Case Report

Giant Cystic Parathyroid Adenoma Masquerading as a Retropharyngeal Abscess

Diom ES1*, Fagan JJ2 and Dhirendra Govender3

1Otolaryngologist, Dakar, Senegal

2Professor and Chairman, Division of Otolaryngology, University of Cape Town, Cape Town, South Africa

3Professor and Chairman, Division of Anatomical Pathology University of Cape Town, Cape Town, South Africa

Corresponding Author:
Evelyne Siga Diom
Otolaryngologist, Dakar, Senegal
Tel: +27 21 650 9111
E-mail: [email protected]

Received date: September 05, 2013; Accepted date: January 09, 2014; Published date: January 17, 2014

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.

 

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.

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