Case Report
Volume: 8 | Issue: 2 | Published: Apr 16, 2024 | Pages: 33 - 36 | DOI: 10.24911/ejmcr.173-1704652051
Uncommon Cystic Presentation of a Common Cervical Mass
Authors:
Joya El-Haddad
, Marc Tassart
Article Info
Authors
Marc Tassart
Department of Radiology, Tenon hospital, Radiology department, Paris, France.
Publication History
Received: January 07, 2024
Revised: March 17, 2024
Accepted: March 29, 2024
Published: April 16, 2024
Abstract
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, green
