Parathyroid Cysts

Arduç, Ayşe; Tütüncü, Yasemin; Doğan, Berçem Ayçıçek; Ileri, Ayse Burcu Arikan; Tuna, Mazhar Müslüm; Özcan, Hatice Nursun; Işık, Serhat; Berker, Dilek; Güler, Serdar

doi:10.1177/000313481508100410

Cited by 15 publications

(20 citation statements)

References 4 publications

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“…Therefore, in the differential diagnosis of PCs, one must consider thyroid goiter, thyroid cyst, thymic cyst, thyroid adenoma, and parathyroid carcinoma. [ 2 , 6 , 10 , 50 , 57 , 125 , 143 , 152 , 162 – 173 ] Furthermore, thyroglossal duct cyst and branchial cleft cyst should be taken into consideration as neck masses that usually mimic PCs. Multiple studies support the assumption that test of the cystic fluid aspirated by FNA is the best method to distinguish PCs.…”

Section: Discussionmentioning

confidence: 99%

“…[ 27 , 111 , 147 , 196 – 199 ] This pathology refers mainly to nonfunctioning cysts, whereas functioning ones lack this epithelium and are characterized more as pseudocysts. [ 2 , 92 , 131 , 200 ] Kuo et al [ 201 ] reported a case of an adenoma found lined in the cyst wall, surrounded by cyboid cells. References in the literature reveal that hyperfunctioning PCs can be formed by adenomatous tissue without any evidence of adenoma or hyperplasia.…”

Section: Discussionmentioning

confidence: 99%

“…No recurrences or metastasis is observed, except for 14 cases of patients, from whom 10 patients appeared with 1 recurrence, 3 with 2 recurrences, and 1 with 3 recurrences within their follow-up period. [ 2 , 40 , 54 , 65 , 166 , 169 , 170 , 210 , 215 , 220 , 223 , 224 ] These recurrences appeared after the first FNA and surgical excision was mandatory as their definitive treatment. According to a study published by Lorenzo et al [ 224 ] in 2008, malignant transformation has not been noted in 10 years follow-up of a case of a recurrent PC, which needed repeated FNA due to patient's rejection to be operated.…”

Section: Discussionmentioning

confidence: 99%

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Parathyroid cysts

Papavramidis

Chorti²,

Pliakos³

et al. 2018

Medicine

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Background:Parathyroid cysts are lesions that represent 1–5% of neck masses. They are subdivided into two categories: functioning and non-functioning.The aim of the present review is to give a detailed account of all reported cases of parathyroid cysts in the literature and to analyze statistically the available data.Methods:A bibliographic research was performed from 1905 until 2016. A database with the patients’ characteristics was made and analyzed statistically.Results:A total of 218 articles were found, reporting 359 cases of cysts. Mean age of patients was 49.24 y/o and the male/female ratio was 1:1.85. The most common locations were left thyroid lobe (113/358 patients, 31.6%), and superior mediastinum (69/358 patients, 19.3%), while the most common symptoms were neck mass (148/355 patients, 41.7%), compressive symptoms (73/355 patients, 206%) and hyperparathyroidism (62/355 patients, 17.5%). Non-functioning cysts were more frequent (220/357 patients, 61.6%). Regarding dimensions, mean diameter was 4.88 cm. Ultrasound and FNA are used for their diagnosis, while cystic fluid analysis may help the differential diagnosis. Recurrences were mentioned in 27/97 patients (27.8%) with available data. No deaths due to parathyroid cysts were mentioned in the literature.Conclusion:Parathyroid cysts should be taken into consideration in case of parathyroid dysfunction or asymptomatic neck mass. The surgeon's careful manipulations on the cyst are crucial for a definitive treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Parathyroid cysts

Papavramidis

Chorti²,

Pliakos³

et al. 2018

Medicine

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“…The best treatment for FPC is surgical removal of the lesion, but for NFPC, surgical treatment is optional. There are three options for the treatment of NFPC including simple aspiration, percutaneous sclerosing agent injections and surgical resection [ 4 , 5 ]. Ultrasound-guided aspiration can be used alone as an initial treatment for symptomatic NFPCs, and it can immediately resolve compression symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…They are often mistaken for other neck masses, such as thyroid cysts. There are three options for treatment of PC: aspiration, percutaneous injection of sclerosing agents, and surgical resection [ 4 , 5 ]. At present, the diagnosis and treatment of PC is limited to a few small case reports.…”

Section: Introductionmentioning

confidence: 99%

Parathyroid cysts: experience of a rare phenomenon at a single institution

Xia

et al. 2018

BMC Surg

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BackgroundParathyroid cysts are relatively uncommon lesions and are often misdiagnosed. We evaluate our experience in the diagnosis of and therapy to correct parathyroid cystic lesions.MethodsWe retrospectively reviewed a series of 32 patients with parathyroid cysts who were admitted to our department between July 2011 and November 2016. Clinical pathological features of the patients, including age, gender, location, size, ultrasonography, histopathology, surgery, and follow-up, were analyzed.ResultsThere were 22 female and 10 male participants with a median age of 46.7 years old (27–76 years old). Only two cysts were found in the superior mediastinum. The rest were located under the lower pole of the thyroid. All of the patients underwent ultrasonography scans and serum parathyroid hormone (PTH) assays. Three patients had elevated serum PTH levels, and they were further scanned with Tc99m sestamibi as functional cysts. In 29 cases of nonfunctional cysts, 3 cases were preoperatively diagnosed by cystic aspiration with PTH detection. The rest were diagnosed by postoperative immunopathology. All of the patients underwent cystectomy, and 24 patients also underwent thyroidectomy. There was a significant difference in cyst diameter size between the cystectomy alone and cystectomy with thyroidectomy groups (4.0 ± 2.0 vs 1.5 ± 1.0 cm; p < 0.05). No participant experienced recurrence during the median 36 months of follow-up.ConclusionsCystic lesions located under the lower pole of the thyroid gland should be considered to have originated at the parathyroid gland. Cystic aspiration with PTH detection or postoperative immunopathology can lead to a definitive diagnosis. Cystectomy is still a commonly used and effective treatment.

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Pathology of the Parathyroid Glands

Zheng

LiVolsi

2020

Atlas of Parathyroid Imaging and Pathology

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Parathyroid Cysts

Cited by 15 publications

References 4 publications

Parathyroid cysts

Parathyroid cysts

Parathyroid cysts: experience of a rare phenomenon at a single institution

Pathology of the Parathyroid Glands

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