Papavramidis Theodosios S, Chorti Angeliki, Pliakos Ioannis, Panidis Stavros, Michalopoulos Antonios
1st Propedeutic Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.
Medicine (Baltimore). 2018 Jul;97(28):e11399. doi: 10.1097/MD.0000000000011399.
Parathyroid cysts are lesions that represent 1-5% of neck masses. They are subdivided into two categories: functioning and non-functioning.The aim of the present review is to give a detailed account of all reported cases of parathyroid cysts in the literature and to analyze statistically the available data.
A bibliographic research was performed from 1905 until 2016. A database with the patients' characteristics was made and analyzed statistically.
A total of 218 articles were found, reporting 359 cases of cysts. Mean age of patients was 49.24 y/o and the male/female ratio was 1:1.85. The most common locations were left thyroid lobe (113/358 patients, 31.6%), and superior mediastinum (69/358 patients, 19.3%), while the most common symptoms were neck mass (148/355 patients, 41.7%), compressive symptoms (73/355 patients, 206%) and hyperparathyroidism (62/355 patients, 17.5%). Non-functioning cysts were more frequent (220/357 patients, 61.6%). Regarding dimensions, mean diameter was 4.88 cm. Ultrasound and FNA are used for their diagnosis, while cystic fluid analysis may help the differential diagnosis. Recurrences were mentioned in 27/97 patients (27.8%) with available data. No deaths due to parathyroid cysts were mentioned in the literature.
Parathyroid cysts should be taken into consideration in case of parathyroid dysfunction or asymptomatic neck mass. The surgeon's careful manipulations on the cyst are crucial for a definitive treatment.
甲状旁腺囊肿是占颈部肿块1% - 5%的病变。它们可分为两类:功能性和非功能性。本综述的目的是详细阐述文献中所有报道的甲状旁腺囊肿病例,并对现有数据进行统计分析。
进行了从1905年至2016年的文献研究。建立了一个包含患者特征的数据库并进行统计分析。
共找到218篇文章,报道了359例囊肿病例。患者的平均年龄为49.24岁,男女比例为1:1.85。最常见的部位是左甲状腺叶(113/358例患者,31.6%)和上纵隔(69/358例患者,19.3%),而最常见的症状是颈部肿块(148/355例患者,41.7%)、压迫症状(73/355例患者,20.6%)和甲状旁腺功能亢进(62/355例患者,17.5%)。非功能性囊肿更为常见(220/357例患者,61.6%)。关于尺寸,平均直径为4.88厘米。超声和细针穿刺抽吸活检用于其诊断,而囊液分析可能有助于鉴别诊断。在有可用数据的97例患者中有27例(27.8%)提到有复发情况。文献中未提及因甲状旁腺囊肿导致的死亡病例。
在出现甲状旁腺功能障碍或无症状颈部肿块的情况下,应考虑甲状旁腺囊肿。外科医生对囊肿的仔细操作对于确定性治疗至关重要。