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Clinical Note |

Parathyroid Adenoma as a Cause of Vocal Fold Paralysis

Jih-Chin Lee, MD; Gregory C. Barkdull, MD; Robert A. Weisman, MD
Arch Otolaryngol Head Neck Surg. 2009;135(7):712-713. doi:10.1001/archoto.2009.60.
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Extract

Parathyroid adenomas (PAs) are the most common cause of primary hyperparathyroidism. Presentations can range from the classic bone pain, depression, fatigue, renal calculi, and gastrointestinal tract symptoms to asymptomatic calcium level elevation detected on a serum chemistry panel. They are benign tumors that are not generally thought to cause recurrent laryngeal nerve paralysis.

REFERENCES
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PubMed
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PubMed Link to Article[[XSLOpenURL/10.1017/S0022215100109806]]
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PubMed Link to Article[[XSLOpenURL/10.1016/S0385-8146(98)00057-1]]
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PubMed Link to Article[[XSLOpenURL/10.1016/S0039-6060(97)90060-X]]
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PubMed Link to Article[[XSLOpenURL/10.1258/0022215001904923]]
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Figure 2.

Histomicrograph (original magnification ×200) that demonstrates hypercellular parathyroid tissue that contains chief cells and oxyphil cells, consistent with parathyroid adenoma.

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Figure 1.

Intraoperative photograph that demonstrates the recurrent laryngeal nerve (RLN) stretched over the parathyroid adenoma (PA), lateral to the thyroid gland (TG) and trachea (T).

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