Aim Of The Study: To evaluate the characteristics of the parathyroid cysts (PC).
Patients And Method: Ten patients with PC were included in this retrospective study. The PC were discovered as follows: cervical mass (n = 3), hyperparathyroidism (n = 3), incidentally during thyroid surgery (n = 3) and screening for obesity (n = 1). Intracystic parathormone determination was performed after fine needle aspiration in 2 cases.
Results: Mean cyst measurements were 27 mm (ext: 5-70 mm) to 22 mm (5-45 mm). Nine cysts were cervical (resection by cervicotomy), and one was mediastinal (resection by sternotomy). In addition to the resection of the PC, 3 adenomas, 1 hyperplasia of the parathyroid glands and 3 benign thyroid diseases were recognized and treated during the cervicotomies.
Conclusion: The diagnosis of PC is not common and must be based primarily on the study of the cyst liquid obtained by percutaneous puncture (intracystic parathormone measurement).
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SAGE Open Med Case Rep
December 2021
Department of Otorhinolaryngology, Habib Bourguiba Hospital, Sfax, Tunisia.
Parathyroid cysts are an uncommon entity. They are classified as functioning and nonfunctioning cysts. Cyst aspiration with detection of parathyroid hormone is a useful tool to confirm the diagnosis.
View Article and Find Full Text PDFIntern Med
February 2020
Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, Japan.
A 77-year-old man with a history of hypertension, prostate hyperplasia, and urolithiasis was admitted for acute kidney injury caused by hypercalcemia. Neck ultrasonography showed a large cyst adjacent to the right lower thyroid lobe. Although a technetium sestamibi scan was negative, an extremely high intracystic intact parathyroid hormone level suggested that the cyst had a parathyroid origin and that a functional parathyroid cyst was present.
View Article and Find Full Text PDFHead Neck
January 2008
Department of Endocrine Surgery, First Department of Propaedeutic Surgery, Hippokration Hospital, University of Athens, Athens Medical School, Athens, Greece.
Background: We report a case of intracystic hemorrhage in a mediastinal cystic parathyroid adenoma causing parathyrotoxic crisis.
Methods And Results: A 30-year-old man presented with a large neck mass, dyspnea, and abdominal pain. The patient's serum calcium and parathormone levels were elevated.
ANZ J Surg
December 2003
Service de Chirurgie Endocrinienne et d'Anatomopathologie, Lille University Hospital, Hôpital Huriez, Lille Cedex, France.
Background: Parathyroid cysts account for 0.5% of parathyroid pathologies. They usually contain sky-high levels of parathyroid hormone (PTH) but are not necessarily associated with primary hyperparathyroidism (PHPT).
View Article and Find Full Text PDFJ Endocrinol Invest
July 2003
Institute of Surgical Semeiothic, Catholic University of Sacred Heart, Rome, Italy.
The association of a functional parathyroid cyst with a parathyroid adenoma is an uncommon finding. In this report we describe the clinical history of a 60-yr-old man, presenting with the following findings: hypercalcemia (18.9 mg/dl), elevated serum parathormone levels (1320 pg/dl), hypercalciuria (228 mg/dl), and hyperphosphaturia (155 mg/dl).
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!