diagnosis and therapeutic management of parathyroid cysts甲状旁腺囊肿的诊断和治疗管理.pdfVIP

Surgical Science, 2012, 3, 479-483 /10.4236/ss.2012.310095 Published Online October 2012 (http://www.SciRP.org/journal/ss) Diagnosis and Therapeutic Management of Parathyroid Cysts Jean-Baptiste Finel, Stéphanie Mucci, Frédéric Branger, Aurélien Venara, Laure Blanchard, * Antoine Hamy Department of Digestive and Endocrine Surgery, University Hospital, Angers, France * Email: anhamy@chu-angers.fr Received July 21, 2012; revised August 25, 2012; accepted September 7, 2012 ABSTRACT Objectives: The parathyroid cysts (PCs) are rare and their diagnosis and therapeutic management are not clearly estab- lished. The aim of the study was to evaluate the characteristics of parathyroid cysts. Methods and Materials: Twenty-five patients with PC were included in this retrospective study. The PCs were discovered as follows: cervical mass (n = 18), screening for other pathologies (n = 7). Intracystic parathyroid hormone determination was performed in 6 cases. Results: Eight patients presented a hyperparathyroidism. Mean cyst size was 21.1 mm (ext 4 - 70 mm) by 19.8mm (5 - 45 mm). Twenty four cysts were cervical (resection by cervicotomy), and one was mediastinal (resection by sternotomy). In addition to the resection of the PC, 3 adenomas, 1 hyperplasia of the parathyroid glands, 14 benign thyroid diseases and 4 papillary carcinomas were recognized and treated during the cervicotomies. Conclusion: The diagnosis of PC is uncommon and must be based primarily on the study of the cyst liquid obtained by percutaneous puncture