IP Archives of Cytology and Histopathology Research
Official Publication of Khyati Education and Research Foundation
Official Publication of Khyati Education and Research Foundation
Print ISSN: 2581-5725
Online ISSN: 2456-9267
CODEN : IACHCL
IP Archives of Cytology and Histopathology Research (ACHR) open access, peer-reviewed quarterly journal publishing since 2016 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...Case Report
Author Details :
Volume : 3, Issue : 2, Year : 2018
Article Page : 101-104
https://doi.org/10.18231/2456-9267.2018.0020
Abstract
Introduction: The neck swellings, specially of cystic nature, may be of thyroid origin, thymic cysts, thyroglossal duct cysts, branchial cleft cysts, bronchogenic cysts or lymphangiomas depending upon the site of origin. Parathyroid cysts constitute 0.5-1% of all neck cysts and are a rare entity. A strong index of suspicion is required for its correct diagnosis.
Here, we report a case of parathyroid cyst in a 40 year old female and the clinicopathological findings which posed a diagnostic challenge, thus highlighting the importance of including parathyroid cysts in the differential diagnosis of neck cysts.
Case Report: Fine needle aspiration was performed on the swelling and approximately 20 ml of watery, crystal clear fluid was aspirated from the cyst. Cytological examination was acellular. The fluid PTH level was 23.6 pg/ml, serum calcium was 8.6 mg/dl (normal reference range 8.5-10.1 mg/dl) and serum PTH level was 65.88 pg/ml (normal reference range 15-65 pg/ml.
Conclusion: Parathyroid cysts are uncommon benign cystic lesions and may be functional or non functional in nature. FNA is a valuable diagnostic tool along with fluid PTH level. The parathyroid cysts should be included in the differential diagnosis of all anterior cystic neck swellings so that they are not missed or misdiagnosed as thyroid lesions.
Keywords: Parathyroid cysts, PTH, FNAC, USG.
How to cite : Hawaldar R, Sodani S, Sodani R K, Jadhav N, Parathyroid cyst- missed diagnosis or a misdiagnosis: A case report. IP Arch Cytol Histopathol Res 2018;3(2):101-104
This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
