Misleading Imaging Results in the Diagnosis of Parathyroid Cysts

Hughes, Candace; Kanmaz, Bedii; Isitman, A T; Akansel, G; Lawson, Thomas L.; Collier, B D

doi:10.1097/00003072-199405000-00010

Cited by 19 publications

(11 citation statements)

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“…Tl-201-Tc-99m pertechnetate subtraction or sestamibi scintigraphy rarely yields positive results, and current imaging techniques like sonography, CT scan and MRI may demonstrate the cystic nature of these lesions but are usually not able to determine the exact aetiology [20]. Defects of the branchial apparatus, thyroid cysts and lymphatic-vascular anomalies may be included within the differential diagnosis [21].…”

Section: Discussionmentioning

confidence: 99%

A single-institution 25-year review of true parathyroid cysts

Ippolito

Palazzo

Sébag

et al. 2005

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 99%

A single-institution 25-year review of true parathyroid cysts

Ippolito

Palazzo

Sébag

et al. 2005

Langenbecks Arch Surg

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“…Rarely there are clinical signs corresponding to a complication: cervical pain [1,3,11,19] and/or thoracic pain [18] or compression symptoms [3,8,11,16,[18][19][20], dyspahgia (one of our observations), dysphonia [5,20] dyspnoea, dry cough or stridor [15,21] deviation and vascular compression [11,18,22]. Systemically the patient will be normal unless the cyst causes significant hyperparathyroidism which itself can be symptomless.…”

Section: Discussionmentioning

confidence: 81%

“…or during surgery in the area concerned [2,15] (14 in our observation). Elsewhere examination will note a palpable anterior cervical mass [2,16] or laterocervical base masses [15,17] which is smooth, renitent and mobile presenting like a thyroid nodule. The cervico-mediastinal cysts can give the impression of a plunging goitre [11].…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis and Therapeutic Management of Parathyroid Cysts

Finel¹,

Mucci²,

Branger³

et al. 2012

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Objectives: The parathyroid cysts (PCs) are rare and their diagnosis and therapeutic management are not clearly established. The aim of the study was to evaluate the characteristics of parathyroid cysts. Methods and Materials: Twenty-five patients with PC were included in this retrospective study. The PCs were discovered as follows: cervical mass (n = 18), screening for other pathologies (n = 7). Intracystic parathyroid hormone determination was performed in 6 cases. Results: Eight patients presented a hyperparathyroidism. Mean cyst size was 21.1 mm (ext 4 -70 mm) by 19.8mm (5 -45 mm). Twenty four 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, 14 benign thyroid diseases and 4 papillary carcinomas were recognized and treated during the cervicotomies. Conclusion: The diagnosis of PC is uncommon and must be based primarily on the study of the cyst liquid obtained by percutaneous puncture (intracystic parathyroid hormone measurement). True PCs are non functional.

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“…Hughes et al showed that T1-201-Tc-99m pertechnetate subtraction scintigraphy, CT, and US were unable to distinguish parathyroid cysts from thyroid nodules and failed to demonstrate the exact origin of cystic neck masses (48).…”

confidence: 99%