Primary Hyperparathyroidism Associated With a Cystic Lesion in the Neck: Probable Parathyroid Cyst

Arnaud, Claude D.; Walker, John; Ewer, Robert W.

doi:10.1210/jcem-21-7-833

Cited by 13 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PCs remain a rare cause of hyperparathyroidism. [ 139 , 142 – 144 ] Fallon et al [ 145 ] reported 1 case of parathyroid gland hyperplasia instead of adenomas. Several cases of acute symptomatology, caused by hypercalcemic crisis or compression of adjacent structures, which are life-threatening conditions, have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Parathyroid cysts

Papavramidis

Chorti²,

Pliakos³

et al. 2018

Medicine

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Parathyroid cysts

Papavramidis

Chorti²,

Pliakos³

et al. 2018

Medicine

View full text Add to dashboard Cite

show abstract

“…A correct diagnosis had been made before operation in only 15 (11)(12)(13). In 8 patients there was primary hyperparathyroidism [13][14][15][16][17]. The male:female ratio was 1:3.5 and the age incidence, 16 to 79 years, with the greatest number presenting between the fourth and sixth decades.…”

Section: Discussionmentioning

confidence: 99%

Parathyroid cysts

1982

View full text Add to dashboard Cite

From a review of the world literature, 91 cases of parathyroid cysts have been identified. The majority present as asymptomatic lumps in the lower part of the neck to the right or, more frequently, the left of the midline and are diagnosed as thyroid nodules before surgery. The 4 cases discussed in this article were all derived from the left lower parathyroid gland or left upper pole of the thymus. Three are the largest on record, 2 of which produced pressure symptoms and one, scabbarding of the trachea.

show abstract

“…They only occasionally cause hyperparathyroidism (Shields and Staley, 1961;Pyrah et al, 1966;Wood et al, 1966;Kirwan, 1974). However, of 9 cases extrathyroid parathyroid cyst found in a review of the literature, 4 were associated with hyperparathyroidism (Arnaud et al, 1961 ;Rogers et al, 1969;Simkin, 1976).…”

Section: Discussionmentioning

confidence: 99%