Cystic parathyroid adenoma: Two cases of a rare phenomenon
| Autor: | Erin Buczek, Diana M. Lin, Nicholas J. Rivers |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Neck mass Asymptomatic New onset 03 medical and health sciences 0302 clinical medicine medicine 030223 otorhinolaryngology Parathyroid adenoma Anterior neck Suspicious for Malignancy business.industry Hyperparathyroidism lcsh:Otorhinolaryngology medicine.disease lcsh:RF1-547 Otorhinolaryngology Parathyroid cyst 030220 oncology & carcinogenesis Etiology Radiology medicine.symptom business hormones hormone substitutes and hormone antagonists Primary hyperparathyroidism Thyroid cyst |
| Zdroj: | Otolaryngology Case Reports, Vol 17, Iss, Pp 100223-(2020) |
| ISSN: | 2468-5488 |
| DOI: | 10.1016/j.xocr.2020.100223 |
| Popis: | Background Parathyroid cysts are a rare etiology that represent less than 1% of parathyroid pathology. They are often classified as functional or non-functional and can present as asymptomatic incidental findings or in some cases causing airway compression or severe hypercalcemia. Methods We present two cases of new onset primary hyperparathyroidism with concurrent cystic lesions of the anterior neck. In both cases, preoperative SPECT-CT scans were equivocal for the presence of parathyroid adenomas. Surgical resection of the lesions resulted in intraoperative decrease of PTH to normal levels. Results Both patients experienced resolution of any symptoms and normalization of calcium levels. Pathology confirmed the diagnosis of cystic parathyroid adenoma, not suspicious for malignancy. Conclusion While extremely rare, functional parathyroid cyst should be considered in the evaluation of a patients with hypercalcemia and a cystic central neck mass. |
| Databáze: | OpenAIRE |
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