Delaunay T, Peillon C, Manouvrier J L, Deotto J F, Doucet J, Nicaise J M, Watelet J, Testart J
Service de Chirurgie Vasculaire-Digestive et Endocrinienne, CHU Rouen, Hôpital Charles-Nicolle.
Ann Chir. 1990;44(3):231-5.
Parathyroid cysts are rare lesions. Pathological examination distinguishes the "true" parathyroid cysts (non functional) most often present and cystic degeneration of a parathyroid adenoma (rare) with clinical or biochemical evidence of hyperparathyroidism. With the increased use of ultrasound and fine needle aspiration biopsies, the diagnosis of these cysts can be confirmed by an elevated parathyroid hormone (PTH) assay. The non-functioning parathyroid cysts can be successfully treated by total aspiration of the cyst fluid. Surgical exploration of all parathyroid glands is the treatment of choice for hyperparathyroidism. The different proposed etiologies for parathyroid cysts are discussed.
甲状旁腺囊肿是罕见的病变。病理检查可区分最常见的“真性”甲状旁腺囊肿（无功能）和甲状旁腺腺瘤的囊性变（罕见），后者伴有甲状旁腺功能亢进的临床或生化证据。随着超声和细针穿刺活检的使用增加，这些囊肿的诊断可通过甲状旁腺激素（PTH）检测升高来证实。无功能的甲状旁腺囊肿可通过完全抽吸囊液成功治疗。对所有甲状旁腺进行手术探查是甲状旁腺功能亢进的首选治疗方法。文中讨论了甲状旁腺囊肿的不同病因。
