1/107. hyperparathyroidism associated with a parathyroid cyst: an unusual presentation.In a case of hyperparathyroidism associated with a large parathyroid cyst a causal association was demonstrated by the presence of enormous quantities of parathormone in the cyst fluid. Assay of hormone levels in the cyst fluid in future cases may be helpful in elucidating the aetiology of this rare condition.- - - - - - - - - - ranking = 1keywords = thyroid (Clic here for more details about this article) |
2/107. Mediastinal parathyroid cysts revisited.BACKGROUND: A case of a functioning mediastinal cyst is presented. methods: A comprehensive review of the literature found 93 patients in whom a parathyroid cyst or cysts extended into, or was completely contained within, the mediastinum. Including our patient, there were 46 men and 45 women, and the gender was not recorded in three. RESULTS: The cysts were located in the anterosuperior region in 56 patients, in the middle region of the mediastinum in 26, and in the anterior, prevascular region in 12. Thirty-nine patients had functioning cysts associated with hyperparathyroidism of varying severity; seven patients presented with a hypercalcemic crisis. Local symptomatology consisted of a neck mass, respiratory distress, and occasional dysphagia or chest pain. recurrent laryngeal nerve paresis was present in nine patients, and innominate vein compression or thrombosis was present in two. The cysts in all but four patients were treated by open surgical excision; two were treated by thoracoscopy, and two patients only had fine-needle aspiration of the cyst. The cyst was excised via a cervical approach in 67 patients and by a thoracotomy or median sternotomy or a variation thereof in 23. There was no operative mortality and morbidity was minimal. CONCLUSION: Surgical resection was successful in all and remains the treatment of choice for mediastinal parathyroid cysts.- - - - - - - - - - ranking = 0.7keywords = thyroid (Clic here for more details about this article) |
3/107. Parathyroid cyst: a rare cause of an anterior neck mass.Parathyroid 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.- - - - - - - - - - ranking = 0.6keywords = thyroid (Clic here for more details about this article) |
4/107. Parathyroid cysts.Parathyroid cysts are relatively uncommon. They may be non-functioning or associated with primary hyperparathyroidism. Three patients are presented, including one with a large mediastinal parathyroid cyst, and these cases illustrate the range of pathological and clinical features.- - - - - - - - - - ranking = 0.7keywords = thyroid (Clic here for more details about this article) |
5/107. Asymptotic parathyroid cyst--diagnostic difficulties (a case report).The case of a 70-year-old female with asymptotic parathyroid cyst is presented. It was not possible to make a proper diagnosis preoperatively. The correct diagnosis was based on the result of the postoperative microscopic examination of the resected tissues. The diagnostic difficulties are discussed.- - - - - - - - - - ranking = 0.5keywords = thyroid (Clic here for more details about this article) |
6/107. Psychiatric aspects of parathyroid disease.parathyroid diseases can present with psychiatric symptoms and can be recognized through determinations of serum electrolytes, especially the calcium level. Psychiatric evaluations should include a serum calcium concentration test, which is also essential in reassessment of patients poorly responsive to mental illness treatment. A magnesium and a phosphate assay may also be diagnostically helpful. Abnormality of divalent cation levels may provide evidence for consideration of, or ruling out, parathyroid disorders. Determinations of parathyroid hormone are performed if clinically indicated, and if abnormal divalent cation quantifications are confirmed. If parathyroid disease is identified, corrective endocrine therapies may diminish or even cure psychiatric aspects of parathyroid pathology. Failure to recognize a parathyroid disorder leaves an endocrine-induced mental dysfunction without proper treatment.- - - - - - - - - - ranking = 1keywords = thyroid (Clic here for more details about this article) |
7/107. Mediastinal parathyroid cyst: treatment with thoracoscopic surgery--a case report.Parathyroid cysts are rarely located in the mediastinum. This report describes a 45-year-old man with a mediastinal parathyroid cyst. Video-assisted thoracic surgery was successfully performed to remove the cyst.- - - - - - - - - - ranking = 0.6keywords = thyroid (Clic here for more details about this article) |
8/107. amyloid goiter with parathyroid involvement: a case report and review of the literature.Although involvement of the thyroid gland by amyloid is a relatively common phenomenon, diffuse enlargement of the gland secondary to infiltration by amyloid is infrequent. We report the pathologic findings in a case of primary amyloid goiter with involvement of a parathyroid gland in an euthyroid patient who presented to his physician with an enlarged thyroid, upper airway obstructive symptoms, and dysphagia. The clinical features of amyloid goiter, including difficulties in preoperative diagnosis and management, are discussed.- - - - - - - - - - ranking = 0.8keywords = thyroid (Clic here for more details about this article) |
9/107. A benign parathyroid cyst presenting with hoarse voice.Parathyroid tumours and cysts are rare and, when presenting as neck masses, can be clinically misdiagnosed as thyroid lesions. Symptoms may be caused by compression of the surrounding structures or hormonal overactivity. This paper describes a patient with recurrent hoarseness owing to the pressure effects of a parathyroid cyst on the recurrent laryngeal nerve.- - - - - - - - - - ranking = 0.7keywords = thyroid (Clic here for more details about this article) |
10/107. Langerhans cell histiocytosis involving the thyroid and parathyroid glands.Langerhans cell histiocytosis (LCH) is a rare illness, and the disease afflicting the thyroid gland is very uncommon, even in the presence of multisystem involvement. In this report, we document histologically, for the first time, concurrent involvement of the thyroid and parathyroid glands by LCH. A young Chinese woman with a history of diabetes insipidus and hypogonadism underwent a total thyroidectomy for enlarged thyroid gland secondary to LCH causing airway obstruction. Microscopic examination of the excised specimen disclosed CD1a- and S-100-positive LCH cells involving the thyroid and parathyroid glands. In a patient with LCH affecting the thyroid gland, parathyroid gland disease should be suspected when the serum calcium levels are depressed in association with an inappropriate serum parathyroid hormone level, such as a normal parathyroid hormone level in this case.- - - - - - - - - - ranking = 1.9keywords = thyroid (Clic here for more details about this article) |
| | Next -> |