Moreau-Lenoir F, Gruyer X, François A, Vinel V, Dehesdin D, Andrieu Guitrancourt J
Service ORL et Chirurgie Cervico-Faciale, CHU Rouen, 1 rue Germont, 76031 Rouen Cedex.
Ann Otolaryngol Chir Cervicofac. 2000 Dec;117(6):403-409.
Although parathyroid cysts are rarely described in the literature, they should be considered in the differential diagnosis of cysts occurring in the anterior compartment of the neck. We report two cases. The presence of elevated parahormone in the clear fluid aspirate is the diagnostic criterion. Parathyroid cysts may be functional, probably resulting from cystic formation of a parathyroid adenoma, or non function with their own epithelial lining, probably arising from remnants of the pharyngeal pouch or Kursteiner's canal. Search for both hypercalcemia and hypophosphoremia are needed. Fine needle aspiration provides the diagnosis and is also the treatment of choice for non-functional parathyroid cysts. Aspiration of functional cysts can reduce the hormone level to normal prior to surgical removal.
尽管甲状旁腺囊肿在文献中鲜有描述,但在颈部前间隙出现囊肿的鉴别诊断中应考虑到它们。我们报告两例病例。清亮液体抽吸物中甲状旁腺激素升高是诊断标准。甲状旁腺囊肿可能是功能性的,可能由甲状旁腺腺瘤的囊性形成所致,或者是非功能性的,有其自身的上皮内衬,可能起源于咽囊或库尔施泰纳管的残余部分。需要同时检查高钙血症和低磷血症。细针穿刺抽吸可提供诊断,也是非功能性甲状旁腺囊肿的首选治疗方法。功能性囊肿的抽吸可在手术切除前将激素水平降至正常。