Uncommon Cystic Presentation of a Common Cervical Mass.
Authors: Joya El-Haddad, Marc Tassart
Background: Parathyroid cysts (PCs) are rare, constituting less than 0.5% of parathyroid lesions. PCs are often asymptomatic or present with non-specific symptoms, posing challenges for accurate diagnosis. Case Presentation: We report a case of a 22-year-old female presenting a painless, growing left-sided neck mass. Imaging, including contrast-enhanced neck CT, MRI, and high-resolution ultrasound, revealed a purely cystic lesion in the anterior upper mediastinum. Subsequent ultrasound-guided fine needle aspiration cytology (FNAC) confirmed the cystic nature. In situ PTH levels were elevated, leading to the diagnosis of a non-functioning parathyroid cyst. Surgical intervention was avoided, and symptomatic relief was achieved through US-guided cyst aspiration. Conclusion: This case emphasizes the rarity of non-functioning PCs and underscores the importance of a comprehensive diagnostic approach, including imaging studies and FNAC with in situ dosage of PTH levels.
Keywords: Parathyroid cyst- FNAC- In situ PTH- Diagnosis-Case report.
Authors
Correspondence to:
Joya El-Haddad, Department of Radiology, Tenon hospital, Radiology department, Paris, France joya.elhaddad@gmail.com
Publication history:
Received 07 Jan 2024
Revised 17 Mar 2024
Accepted 29 Mar 2024
Published online 16 Apr 2024
El-Haddad J, Tassart M. Uncommon Cystic Presentation of a Common Cervical Mass.. EJMCR. Online First: 16 Apr, 2024. doi:
10.24911/ejmcr.173-1704652051
El-Haddad J, Tassart M. Uncommon Cystic Presentation of a Common Cervical Mass.. https://www.ejmcr.com/?mno=184305 [Access: May 09, 2024]. doi:
10.24911/ejmcr.173-1704652051
El-Haddad J, Tassart M. Uncommon Cystic Presentation of a Common Cervical Mass.. EJMCR. Online First: 16 Apr, 2024. doi:
10.24911/ejmcr.173-1704652051
El-Haddad J, Tassart M. Uncommon Cystic Presentation of a Common Cervical Mass.. EJMCR, [cited May 09, 2024]; Online First: 16 Apr, 2024. doi:
10.24911/ejmcr.173-1704652051
El-Haddad, J. & Tassart, . M. (2024) Uncommon Cystic Presentation of a Common Cervical Mass.. EJMCR, Online First: 16 Apr, 2024. doi:
10.24911/ejmcr.173-1704652051
El-Haddad, Joya, and Marc Tassart. 2024. Uncommon Cystic Presentation of a Common Cervical Mass.. European Journal of Medical Case Reports, Online First: 16 Apr, 2024. doi:
10.24911/ejmcr.173-1704652051
El-Haddad, Joya, and Marc Tassart. "Uncommon Cystic Presentation of a Common Cervical Mass.." European Journal of Medical Case Reports Online First: 16 Apr, 2024. doi:
10.24911/ejmcr.173-1704652051
El-Haddad, Joya, and Marc Tassart. "Uncommon Cystic Presentation of a Common Cervical Mass.." European Journal of Medical Case Reports Online First: 16 Apr, 2024. Web. 09 May 2024 doi:
10.24911/ejmcr.173-1704652051
El-Haddad, J. & Tassart, . M. (2024) Uncommon Cystic Presentation of a Common Cervical Mass.. European Journal of Medical Case Reports, Online First: 16 Apr, 2024. doi:
10.24911/ejmcr.173-1704652051