Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature / 대한두경부종양학회지

Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemorrhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic investigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review

A Case of Neurofibroma of the Vocal Cord

Solitary neurofibroma of the glottis is extremely rare and accounts for only 0.1–1.5% of benign laryngeal tumors. Aryepiglottic fold is the most frequent involved site followed by arytenoids and ventricular folds. There have been few reports of neurofibroma of the true vocal cord. We report a case of neurofibroma which was deeply embedded in the vocal cord and misdiagnosed as muscle tension dysphonia with a review of literatures.

Lingual Metastasis to the Tip of the Tongue as the First Sign of Metastatic Spread in Lung Cancer: A Case Report and Review of the Literature / 대한이비인후과학회지

Lingual metastasis is defined as the metastasis of malignant tumors to the tongue from another primary organ cancer. Primary lung cancer which had metastasized to the tongue was reported in 0.2–1.6% of these cases. The base of the tongue is the most frequent site of lingual metastasis due to its rich vascular supply and relative lack of mobility compared with other areas of the tongue. The aim of this article is to report a benign appearing lingual metastasis to the tip of the tongue as the first sign of metastasis from squamous cell carcinoma of the lung. Clinical presentation of lingual metastasis resembled a hyperplastic or reactive lesion, such as a pyogenic granuloma or submucosal mass. In cases where there was a single metastatic focus, a surgical excision was recommended as a palliative measure for pain control, the prevention of infection or bleeding, and the maintenance of an acceptable oral function.