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Endoscopic Laser Excision of Ectopic Pyriform Sinus Parathyroid Adenoma
Alexander Stojadinovic, MD;
Craig D. Shriver, MD;
John D. Casler, MD;
Erich M. Gaertner, MD;
Gerry York, MD;
David P. Jaques, MD
Arch Surg. 1998;133:101-103.
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INTRODUCTION
Ectopic parathyroid adenomas are one of the causes of failed neck exploration for primary hyperthyroidism. Location of the ectopic gland in the pyriform recess is rarely described premortem. Moreover, removal of such an ectopically located gland using an endoscopic approach, thereby avoiding potentially morbid repeated open neck explorations, to our knowledge, has not been described.
REPORT OF A CASE
A 68-year-old woman presented with symptoms of fatigue and cramping abdominal discomfort. Serum calcium and parathyroid hormone levels were abnormally elevated, and urinary calcium excretion levels were normal, confirming a diagnosis of primary hyperparathyroidism.
Sestamibi iodine I 123 subtraction scan demonstrated an increased radiotracer uptake in the right lower side of the neck, corresponding to a palpable, solid thyroid nodule.
During surgical exploration of the neck, 3 normal-sized parathyroid glands were identified. The . . . [Full Text of this Article]
COMMENT
From the General Surgery Service (Drs Stojadinovic, Shriver, York, and Jaques), the Head and Neck Service (Dr Casler), and the Pathology Service (Dr Gaertner), Walter Reed Army Medical Center, Washington, DC.
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Arch Otolaryngol Head Neck Surg 2002;128:71-74.
ABSTRACT
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