Differential Diagnosis and Treatment of Nonfunctional Parathyroid Cyst_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHAOHai-ying , GENGDong-hua , YANGFu-quan , ZHANGChun-ju ,  LIUJin-gang

Department of General Surgery, Affiliated Shengjing Hospital, China Medical University, Shenyang 110004, Liaoning Province, China;

Corresponding author：

LIUJin-gang, Email: liujg@sj-hospital.org

Keywords：

Nonfunctional parathyroid cyst; Differential diagnosis; Treatment

DOI：

10.7507/1007-9424.20140013

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the differential diagnosis and treatment of nonfunctional parathyroid cyst. Methods The data of 6 patients with nonfunctional parathyroid cyst, who underwent operation in general surgical department of China Medical University Shengjing Hospital between January 2003 and April 2013 were retrospectively analized. Results No patient got definite diagnosis before operation.Preoperative diagnosis were thyroid cyst in 4 patients, neck mass in 1 patient, and thyroid cancer in 1 patient.All patients received operation, included parathyroid cystectomy in 5 patients and thyroid cancer radical resection plus parathyroid cystectomy in 1 patient.Two patients were lost to follow-up, 4 patients were followed-up for 9-24 months, average 19 months, there were no parathyroid cyst and thyroid cancer recurrence or metastasis. Conclusions Nonfunctional parathyroid cyst is true cyst, it is rare lesion in neck, and preoperative definite diagnosis rate is low.The cystectomy is a safe and effective treatment method.

Citation： ZHAOHai-ying, GENGDong-hua, YANGFu-quan, ZHANGChun-ju, LIUJin-gang. Differential Diagnosis and Treatment of Nonfunctional Parathyroid Cyst. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 65-68. doi: 10.7507/1007-9424.20140013 Copy

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14.	Nardi CE, Silva RA, Serafim CM, et al.Nonfunctional parathyroid cyst:case report[J].Sao Paulo Med J, 2009, 127(6):382-384.
15.	Sung JY, Baek JH, Kim KS, et al.Symptomatic nonfunctioning parathyroid cysts:role of simple aspiration and ethanol ablation[J].Eur J Radiol, 2013, 82(2):316-320.
16.	Pontikides N, Karras S, Kaprara A, et al.Diagnostic and thera-peutic review of cystic parathyroid lesions[J].Hormones (Athens), 2012, 11(4):410-418.
17.	张挺, 邵亮, 吕成洲, 等.无功能性甲状旁腺囊肿的诊断和治疗[J].中国普外基础与临床杂志, 2013, 20(10):1165-1167.

1. 李冰.巨大胸骨后甲状旁腺囊肿1例报道[J].中国普外基础与临床杂志, 2012, 19(10):1051.
2. Sreeramulu PN, Borappa K, Girish Gowda SL.Parathyroid cyst:a rare case report[J].Indian J Surg, 2010, 72(1):71-73.
3. 李春明.甲状旁腺囊肿3例报告[J].中国普外基础与临床杂志, 1998, 5(6):359.
4. Codreanu C, Codreanu CM.Parathyroid cysts, a rare condition:a case report and review of the literature[J].Chirurgia (Bucur), 2011, 106(1):127-129.
5. Kaplanoglu V, Kaplanoglu H, Cılız DS, et al.A rare cystic les-ion of the neck:parathyroid cyst[J].BMJ Case Rep, 2013, 2013.pii:bcr2013200813.
6. Ghervan C, Goel P.Parathyroid cyst, a rare cause of cystic cervical lesion.Case report[J].Med Ultrason, 2011, 13(2):157-160.
7. Khan A, Khan Y, Raza S, et al.Functional parathyroid cyst:a rare cause of malignant hypercalcemia with primary hyperparathyroidism:a case report and review of the literature[J].Case Rep Med, 2012, 2012:851941.
8. Cappelli C, Rotondi M, Pirola I, et al.Prevalence of parathyroid cysts by neck ultrasound scan in unselected patients[J].J Endocrinol Invest, 2009, 32(4):357-359.
9. McCoy KL, Yim JH, Zuckerbraun BS, et al.Cystic parathyroid lesions:functional and nonfunctional parathyroid cysts[J].Arch Surg, 2009, 144(1):52-56.
10. Mazeh H, Sippel RS, Chen H.Three large, functioning cystic parathyroid adenomas[J].Endocr Pract, 2012, 18(1):e14-e16.
11. Sillery JC, DeLone DR, Welker KM.Cystic parathyroid adenomas on dynamic CT[J].AJNR Am J Neuroradiol, 2011, 32(6):E107-E109.
12. Witherspoon J, Lewis M.Parathyroid cysts:a clinical and radio-logical challenge[J].Br J Hosp Med (Lond), 2012, 73(2):108-109.
13. Ujiki MB, Nayar R, Sturgeon C, et al.Parathyroid cyst:often mistaken for a thyroid cyst[J].World J Surg, 2007, 31(1):60-64.
14. Nardi CE, Silva RA, Serafim CM, et al.Nonfunctional parathyroid cyst:case report[J].Sao Paulo Med J, 2009, 127(6):382-384.
15. Sung JY, Baek JH, Kim KS, et al.Symptomatic nonfunctioning parathyroid cysts:role of simple aspiration and ethanol ablation[J].Eur J Radiol, 2013, 82(2):316-320.
16. Pontikides N, Karras S, Kaprara A, et al.Diagnostic and thera-peutic review of cystic parathyroid lesions[J].Hormones (Athens), 2012, 11(4):410-418.
17. 张挺, 邵亮, 吕成洲, 等.无功能性甲状旁腺囊肿的诊断和治疗[J].中国普外基础与临床杂志, 2013, 20(10):1165-1167.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Differential Diagnosis and Treatment of Nonfunctional Parathyroid Cyst

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