scholarly journals An Unusual Neck Mass: A Case of a Parathyroid Cyst and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Anand Goomany ◽  
Amy Rafferty ◽  
Ian Smith
Keyword(s):  
Imaging Techniques ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Anterior Neck ◽  
Cystic Fluid ◽  
Parathyroid Cyst ◽  
Parathyroid Cysts

Parathyroid cysts (PC) are an unusual cause of neck swellings. The majority are nonfunctioning and prove to be a diagnostic challenge given their nonspecific physical and radiological characteristics. This is compounded by their rare occurrence, leading them to be overlooked in the differential diagnosis of neck lumps. Imaging techniques fail to determine the origin of these lesions, but a preoperative diagnosis can be achieved by fine-needle aspiration and measurement of cystic fluid C-terminal parathyroid hormone levels. Treatment of nonfunctioning cysts remains controversial and includes needle aspiration, injection of sclerosant, or surgical excision. We present a case of a 44-year-old female presenting with an asymptomatic anterior neck swelling, diagnosed postoperatively as a parathyroid cyst.

Parathyroid cyst: a rare cause of an anterior neck mass

1999 ◽  
Vol 113 (1) ◽  
pp. 73-75 ◽  
Author(s):  
Bhal Chandra Jha ◽  
Nitin M. Nagarkar ◽  
Suman Kochhar ◽  
Harsh Mohan ◽  
Arjun Dass
Keyword(s):  
Clinical Features ◽  
Neck Mass ◽  
Review Of The Literature ◽  
Anterior Neck ◽  
Diagnosis And Management ◽  
Parathyroid Cyst ◽  
Parathyroid Cysts

AbstractParathyroid cysts are rare. Most of them present in the anterior neck as cystic neck swellings. A case of cervical parathyroid cyst is presented, along with a brief review of the literature regarding the aetiology, clinical features, diagnosis and management of this condition.

scholarly journals Nonfunctional parathyroid cyst: case report

2009 ◽  
Vol 127 (6) ◽  
pp. 382-384 ◽  
Author(s):  
Carlos Eduardo Molinari Nardi ◽  
Ricardo Adriano Nasser Barbosa da Silva ◽  
Cynthia Maria Massarico Serafim ◽  
Rogério Aparecido Dedivitis
Keyword(s):  
Case Report ◽  
Surgical Excision ◽  
Neck Mass ◽  
Thyroid Lobe ◽  
Parathyroid Cyst ◽  
Neck Masses ◽  
Thyroid Lobectomy ◽  
Ionic Calcium ◽  
Parathyroid Cysts ◽  
Left Thyroid Lobe

CONTEXT: Parathyroid cysts are rare clinical and pathological entities, with less than 300 cases reported. The inferior parathyroid glands are most commonly involved, with left-side predominance. Parathyroid cysts may be functional or nonfunctional, depending on their association with hypercalcemia. CASE REPORT: A 25-year-old man presented a palpable asymptomatic left-side neck mass. Ultrasound revealed a cystic structure contiguous with the left thyroid lobe. Serum ionic calcium was normal. The patient underwent left thyroid lobectomy plus isthmectomy with excision of the cyst. The histological findings revealed a parathyroid cyst. Parathyroid cysts typically present as asymptomatic neck masses, and surgical excision appears to be the treatment of choice.

scholarly journals Functional parathyroid cyst in a patient with systemic lupus erythematosus: a case report

2015 ◽  
Vol 2015 ◽  
Author(s):  
Jingjing Jiang ◽  
Mei Zhang ◽  
Ronghua He ◽  
Meiping Shen ◽  
Wei Liu
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Primary Hyperparathyroidism ◽  
Lupus Erythematosus ◽  
Surgical Excision ◽  
List Type ◽  
Systemic Lupus ◽  
Cystic Fluid ◽  
Parathyroid Cyst ◽  
Parathyroid Cysts ◽  
Pth Level

Summary Functional parathyroid cysts are a rare cause of primary hyperparathyroidism and are often mistaken for thyroid cysts. Systemic lupus erythematosus (SLE) is also a very rare cause of hypercalcemia. We report the case of a 62-year-old woman, who was diagnosed with SLE 30 years ago, presenting with clinical and biochemical features of primary hyperparathyroidism. Laboratory investigation revealed increased serum calcium and parathyroid hormone (PTH) levels; neck ultrasonography (USG) revealed 40×34×26 mm cystic mass in the left lobe of thyroid gland. PTH level in the cysts was >2500 pg/ml, determined by USG-guided fine-needle aspiration (FNA). In this case, no evidence for potential pathogenic association between parathyroid cyst and SLE was uncovered. However, the recognition of this association is very important because the therapeutical strategy is completely different. Operative management is usually straightforward and alleviates symptoms and any biochemical abnormalities caused by the cyst. Learning points Functional parathyroid cysts are the rare cause of primary hyperparathyroidism and are often mistaken for thyroid cysts. SLE is also a very rare cause of hypercalcemia. Ultrasound-guided FNA of cystic fluid with assay for PTH level is an accurate method of differentiating parathyroid cyst from thyroid cyst. Appropriate management of functional parathyroid cysts is surgical excision.

scholarly journals Cervical root schwannoma: a case series

2016 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Harshad Nikte ◽  
Nitish Virmani ◽  
Jyoti Dabholkar
Keyword(s):  
Case Series ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Malignant Degeneration ◽  
Spinal Root ◽  
Nerve Tumor ◽  
Complete Surgical Excision ◽  
Operative Findings ◽  
Cervical Root

Cervical root schwannoma is an infrequent benign peripheral nerve tumor though those arising from high cervical spinal root are common amongst the spinal schwannomas. This mass commonly presents as a slow growing, asymptomatic, solitary neck mass with rare potential of   malignant degeneration. Displacement of Internal jugular vein and carotids anteriorly is frequently seen though abutment of esophagus is uncommon. Pre operative diagnosis can be established with imaging and Fine needle aspiration cytology (FNAC). Complete Surgical excision is the treatment of choice. Horner’s syndrome is the most common post operative neurological manifestation. Here we have recorded clinical features intra-operative findings and surgical histopathology. We have described a case of 19 year old male with cellular schwannoma of cervical sympathetic chain with intraspinal extension and arising from C5-C8 level. Another case of cervical root schwannoma is described in a 5 year old girl arising at C4-C5 level. Complete surgical excision was done for both patients with no postoperative neurological affection. The clinico-pathological evaluation and management are described

scholarly journals Giant lipoma of breast-a diagnostic dilemma

2021 ◽  
Vol 8 (2) ◽  
pp. 752
Author(s):  
D. J. Balsarkar ◽  
Sachin A. Suryawanshi ◽  
Muna Shaikh ◽  
Sudhir Dhobale
Keyword(s):  
Phyllodes Tumor ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Left Breast ◽  
Normal Breast ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Common Benign Tumor ◽  
Complete Surgical Excision ◽  
Giant Lipoma

Lipoma is the most common benign tumor of adipose tissue. Giant lipoma of breast is very rare.Majority of them are small in size, slow growing and asymptomatic until they reach large size. Most patients seek medical advice due to asymmetry in the breast and due to fear of malignancy. Breast lipomas pose a diagnostic challenge due to similarity of their texture to normal breast parenchyma and make it difficult to distinguish from other common breast lesions. The clinical and radiographic identification of breast lipoma remains challenging. Complete surgical excision with the capsule is essential to prevent recurrence. Breast reconstruction may require, to prevent asymmetry following surgical excision of giant breast lipoma. High degree of clinical suspicion and histolopathological correlation will help in preopertaive diagnosis of this clinical condition. Here, we report a case 50- year -old woman with left breast lump which clinically, radiologically and on fine needle aspiration cytology was diagnosed as phyllodes tumor, but after surgical excision it was reported as breast lipoma on final histopathology.

scholarly journals Small Bowel Mesenteric Pseudocysts: Report of a Case and Review of the Literature

2020 ◽  
pp. 1-3
Author(s):  
Gaetano Di Vita ◽  
Beatrice D'Orazio ◽  
Bonventre Sebastiano ◽  
Martorana Guido ◽  
Cudia Bianca ◽  
...  
Keyword(s):  
Ct Scan ◽  
Standard Treatment ◽  
Clinical Symptoms ◽  
Imaging Techniques ◽  
Surgical Excision ◽  
Mesenteric Cyst ◽  
Review Of The Literature ◽  
Complete Surgical Excision ◽  
Specific Symptoms

Background: Mesenteric pseudocyst (MP) are rare clinical entity presenting a thick fibrotic wall with internal septae without epithelial lining cells. Case Report: We described one case of MP of a 50-year-old woman with persistent, non-specific, and non-responding to medical therapy abdominal pain. Laboratory tests, clinical examination and the abdominal US were un-conclusive while the CT scan of the abdomen showed a cystic lesion of the jejunal mesentery. We performed a laparoscopic surgical excision of the lesion with the resolution of clinical symptoms. The lesion resulted in inflammatory mesenteric cyst at the histological examination. At 5 years CT scan follow up we did not record any recurrences. Conclusion: MP present themselves without specific symptoms, diagnostic imaging techniques such as US or CT scan may define its features, location or size but fail in determining their benign or malign nature. In fact, even if, the majority of these lesions are benign, a rate of malign transformation of around 3% has been reported, which is why the complete surgical excision is the gold standard treatment.

scholarly journals Castleman’s Disease Presenting as a Parotid Mass in the Pediatric Population: A Report of 2 Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Sean W. Delaney ◽  
Shengmei Zhou ◽  
Dennis Maceri
Keyword(s):  
Pediatric Population ◽  
Castleman’S Disease ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Castleman's Disease ◽  
Pathologic Examination ◽  
Diagnostic Challenge ◽  
Angiofollicular Lymph Node Hyperplasia ◽  
Complete Excision

Introduction. Angiofollicular lymph node hyperplasia (Castleman’s disease) is a nonmalignant lymphoproliferative disorder that generally involves the lymph nodes of young adults, most commonly in the mediastinum. Rarely, Castleman’s disease may present in the parotid gland. The disease can be further classified into unicentric or multicentric forms, with considerable differences in presentation, treatment, and prognosis.Case(s). We present cases of two pediatric patients, aged 7 and 11, who both presented with a slow-growing, painless parotid mass. In each case, the mass was excised via a superficial parotidectomy and the diagnosis made postoperatively upon further pathologic examination. At 6 months of follow-up, both had fully intact facial nerve function and no evidence of recurrence.Discussion. Castleman’s disease presents a diagnostic challenge in the head and neck region, as radiographic characteristics and fine needle aspiration results are often inconclusive. Definitive diagnosis requires surgical excision for pathologic examination. The unicentric form generally presents as a painless mass and can be successfully treated with complete excision. The multicentric form is associated with constitutional symptoms and its treatment remains controversial.Conclusion. Although rare, clinicians should be aware of both forms of Castleman’s disease when creating a differential diagnosis for parotid masses.

scholarly journals Intrathyroidal Parathyroid Cyst: An Unusual Neck Mass

2017 ◽  
Vol 10 ◽  
pp. 117955141769813 ◽  
Author(s):  
Maswood M Ahmad ◽  
Mohammed Almohaya ◽  
Mussa H Almalki ◽  
Naji Aljohani
Keyword(s):  
Thyroid Tissue ◽  
Parathyroid Tissue ◽  
Rare Condition ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Maximum Diameter ◽  
High Concentration ◽  
Clear Fluid ◽  
Parathyroid Cyst ◽  
Parathyroid Dysfunction

Parathyroid cyst (PC) is a very rare condition. A case of intrathyroidal PC is being reported here in a 53-year-old woman who presented to the endocrine clinic with slowly progressive painless left anterior neck swelling for 1 year with no symptoms of thyroid or parathyroid dysfunction and no compressive symptoms. Ultrasound of the thyroid showed a well-defined cystic lesion measuring 4.7 × 3.6 cm in maximum diameter with internal echoes within the cyst located in the left lobe of the thyroid gland. Fine needle aspiration revealed colorless clear fluid with a high concentration of parathyroid hormone. The patient underwent left hemithyroidectomy at her request. Histopathology revealed parathyroid tissue with unilocular cyst and thyroid tissue with goitrous changes. She was in remission, and there was no evidence of thyroid or parathyroid dysfunction after surgery.

scholarly journals Solitary Fibrous Tumor of the Larynx and Anterior Neck

2019 ◽  
Vol 34 (1) ◽  
pp. 64-67
Author(s):  
Guinevere S. Pabayos ◽  
Armando M. Chiong
Keyword(s):  
Solitary Fibrous Tumor ◽  
Thyroid Cartilage ◽  
Upper Airway ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Anterior Neck ◽  
Neck Masses ◽  
Airway Opening ◽  
Fibrous Tumor ◽  
The Right

Whether benign or malignant, laryngeal and neck masses may involve the upper airway and obstruct breathing. While surgically-resectable malignancies are generally extirpated with adequate margins of normal tissue, benign lesions are usually excised conservatively. However, even benign masses may behave malignantly, necessitating more aggressive surgical resection. We present one such case.   CASE REPORT   A 35-year-old man from Cotabato City consulted due to difficulty of breathing.  He had a six-year history of progressively enlarging anterior neck mass with intermittent dyspnea, foreign body sensation, progressive dysphagia and hoarseness over the last three months. Physical examination revealed a well-defined, 5 x 6 cm smooth, firm, non-tender anterior neck mass that moved with deglutition.  Rigid endoscopy showed a right supraglottic mass with bulging of the right glottic and subglottic area, with a less than 10% airway opening. (Figure 1A) Both arytenoids were visibly mobile, but glottic closure was impaired. (Figure 1B) Tracheostomy and suspension laryngoscopy with biopsy yielded inconclusive results (fibromuscular tissue) and fine needle aspiration cytology (FNAC) of the anterior neck mass only revealed blood and colloid. Contrast computed tomography of the neck showed a well-marginated, hypodense, thick-walled, heterogeneously enhancing mass in the right laryngeal fossa measuring 2.86 x 1.78 cm with a larger extension anteriorly measuring 4.66 x 2.52 cm.  Effacement of the epiglottis and aryepiglottic fold was noted.  The hyoid and thyroid cartilage were intact, and the thyroid gland was normal.  (Figure 2A, B)   Because of inconclusive histopathological and cytological results, an incision biopsy of the anterior neck mass was performed.  Histopathological evaluation revealed spindle cell mesenchymal proliferation, and immunohistochemical stains showed positive immunoreactivity for CD34, with a weakly positive S-100 and negative SMA, favoring a solitary fibrous tumor.  

scholarly journals Non-functional parathyroid cyst - diagnostic pitfall: A case-report

2015 ◽  
Vol 72 (11) ◽  
pp. 1032-1034 ◽  
Author(s):  
Snezana Polovina ◽  
Zoran Andjelkovic ◽  
Dragan Micic
Keyword(s):  
Vitamin D ◽  
Case Report ◽  
Serum Calcium ◽  
Thyroid Peroxidase ◽  
Thyroid Lobe ◽  
Cystic Fluid ◽  
Parathyroid Cyst ◽  
Parathyroid Cysts ◽  
Serum Pth ◽  
Left Thyroid Lobe

Introduction. Parathyroid cysts are relative rare and they may be misdiagnosed with thyroid nodules. Parathyroid cysts are characterized by elevated level of parathyroid hormone (PTH) in cystic fluid. Case report. We reported about middle-aged woman with palpable node in the left thyroid lobe. Ultrasound showed anechoic 40 ? 25 mm lesion in the left thyroid lobe. Fine needle aspiration (FNA) obtained 13 mL colorless, watery cystic fluid. PTH value in cystic fluid was ten fold more in comparison with serum PTH. Serum PTH was slightly elevated, D vitamin was under the reference range, serum calcium and phosphorus were normal as well as thyroid hormones. Thyroglobulin antibodies (TgAb) and thyroid peroxidase antibodies (TPOAb) were not detected. Radionuclide parathyroid scintigraphy indicated at physiological metaiodbenzyl-guamidine (MIBG) distribution. After six months of vitamin D supplementation, serum calcium, phosphorus, vitamin D and PTH were normal. This finding was indicative that was a nonfunctional parathyroid cyst. Conclusion. This case report points out that thyroid cystic lesions with thin walls, and reverberation in ultrasound, must be observed as a potential parathyroid cyst. These cysts require caution during diagnostic aspiration because of danger of hypercalcemic crises due to FNA, which can be a life-threatening condition.

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