ECE2021 Audio Eposter Presentations Thyroid (157 abstracts)
Parathyroidian cysts: About an observation
Ghammmam Monia 1 , Lobna Chouchane 1 , Mouna Bellakhdhar 2 , Dardouri Teheni 3 , Kermani Wassim 1 & Abdelkefi Mohamed 1
1Hospital University Farhat Hached, ENT department, Sousse, Tunisia; 2University of medecine of sousse, ENT department, Sousse, Tunisia; 3Hospital University Sahloul, nuclear medecine, Sousse, Tunisia
Introduction
The parathyroid cyst is a benign lesion that develops at the expense of the gland parathyroid. It is rarely revealed by palpable cervical swelling and is often a surgical discovery. The purpose of our work is to report an observation of parathyroid cyst, and specify the methods of pre-operative diagnosis and the different therapeutic possibilities.
Materials and methods
We report an observation of a 65-year-old patient with no pathological history individuals who presented for bone pain with functional impotence of the lower limbs.
Results
The cervical examination noted a right lower paramedian cervical swelling of 4 cm large axis, firm, mobile to swallowing. Biological assessment objectivated hypercalcemia with hyperparathyroidism (PTH: 2406 pg/ml). Cervical CT showed a cystic lesion at the lower part of the right thyroid lobe and another heterogeneous on the side left. A resection of the lower right parathyroid gland, which had a wide cystic component, was performed as well as resection of the left parathyroid. The anatomopathological examination concluded in a lower right parathyroid cyst with parathyroid parenchyma hyperplasia of both parathyroid glands. Surgical suites were simple with normalization of calcemia and parathormone levels.
Conclusion
Parathyroid cysts account for 3.2% of parathyroid diseases. They affect preferably women whose age varies between 40 and 50 years. They mainly cause differential diagnosis with isolated thyroid nodules. The treatment is often surgical
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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