Functional Parathyroid Cyst: A case report.
10.16956/kjes.2005.5.2.121
- Author:
Seong Rae KIM
1
;
Jong Ho YOON
;
Seong Jin CHO
;
Chan Heun PARK
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. jjong126@paran.com
- Publication Type:Case Report
- Keywords:
Functional parathyroid cyst;
Hypercalcemia;
Intact parathyroid hormone
- MeSH:
Biopsy, Fine-Needle;
Calcium;
Hypercalcemia;
Mediastinum;
Neck;
Parathyroid Hormone;
Thyroid Nodule
- From:Korean Journal of Endocrine Surgery
2005;5(2):121-125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Parathyroid cysts are uncommon lesions of the neck and superior mediastinum, rarely large enough to be of clinical significance. They frequently present as a clinical diagnostic problem. They may mimic solitary thyroid nodule. They can be classified as either functioning or non-functioning depending on whether or not they are associated with hypercalcemia. Non-functioning or “true” cysts are those associated with normocalcemia (85%), whereas functioning or “pseudocysts” are those associated with hypercalcemia (15%). The presence of a high content of intact parathyroid hormone (intact PTH) in the cystic fluid on fine-needle aspiration (FNA), in conjunction with an elevated serum calcium and intact PTH is diagnostic of a functional parathyroid cyst. A functional parathyroid cyst usually requires surgical removal. We report herein one case of functional parathyroid cyst.