Abstract
Introduction. Parathyroid cysts are divided into two categories: functional
and nonfunctional. Both types of parathyroid cysts, if they are large
enough, can represent as mediastinal or neck mass in 1-5 %. Case series. We
have analyzed data of the patients operated from 2016 till 2021 due to
primary hyperparathyroidism or because of cervical/mediastinal mass. Review
of patients demographic data, preoperative fine needle aspiration biopsy,
level of parathyroid hormone in serum pre and postoperative, level of serum
calcium, clinical presentation of disease was done. Total of 555 patients
were operated in this period pathological confirmation of parathyroid gland.
Parathyroid cysts were found in seven cases. In five cases cyst was
nonfunctional. Four female and three male were operated due to parathyroid
cyst. Mean age of operated patients was 49,8 years. In one patient
nonfunctional cyst was represented with cervical and upper mediastinal mass
with maximal diameter of 10 cm. Conclusion. Although parathyroid cysts
represent around 0.5% of all parathyroid pathology it should be considered
as preoperative diagnose especially if water like liquid is found with fine
needle aspiration biopsy. Experience endocrine surgeon should perform
operation with preserving cysts wall to avoid parathyreomatosis, and
recurrent laryngeal nerve preserving.
Publisher
National Library of Serbia