Hindawi Publishing Corporation Case Reports in Surgery Volume 2015, Article ID 243527, 4 pages http://dx.doi.org/10.1155/2015/243527
Case Report An Unusual Neck Mass: A Case of a Parathyroid Cyst and Review of the Literature Anand Goomany, Amy Rafferty, and Ian Smith Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK Correspondence should be addressed to Anand Goomany; [email protected] Received 28 February 2015; Accepted 24 April 2015 Academic Editor: Geeta Lal Copyright © 2015 Anand Goomany et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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.
1. Introduction Neck lumps are a common presenting complaint to the otolaryngologist and may represent a diagnostic challenge. The differential diagnosis of cystic anterior triangle neck lumps include thyroid cysts, thymic cysts, thyroglossal duct cysts, branchial cleft cysts, bronchogenic cysts, and lymphangiomas. Parathyroid cysts (PC) are a rare clinical entity in routine practice, representing 0.5–1% of parathyroid lesions and
Case Report An Unusual Neck Mass: A Case of a Parathyroid Cyst and Review of the Literature Anand Goomany, Amy Rafferty, and Ian Smith Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK Correspondence should be addressed to Anand Goomany; [email protected] Received 28 February 2015; Accepted 24 April 2015 Academic Editor: Geeta Lal Copyright © 2015 Anand Goomany et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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.
1. Introduction Neck lumps are a common presenting complaint to the otolaryngologist and may represent a diagnostic challenge. The differential diagnosis of cystic anterior triangle neck lumps include thyroid cysts, thymic cysts, thyroglossal duct cysts, branchial cleft cysts, bronchogenic cysts, and lymphangiomas. Parathyroid cysts (PC) are a rare clinical entity in routine practice, representing 0.5–1% of parathyroid lesions and
