Alejandro Román-González1, Natalia Aristizábal2, Carolina Aguilar3, Karen Palacios4, Juan Camilo Pérez5, Alejandro Vélez-Hoyos5, Carlos Simon Duque6, Alvaro Sanabria7. 1. Department of Endocrinology, Hospital Universitario San Vicente Fundación, Medellín, Colombia;; Department of Endocrinology, Universidad de Antioquia, Medellín, Colombia. 2. Department of Endocrinology, Universidad Pontificia Bolivariana, Medellín, Colombia. 3. Department of Endocrinology, Universidad de Antioquia, Medellín, Colombia. 4. Department of Pathology, Hospital Pablo Tobón Uribe, Medellín, Colombia. 5. Department of Pathology, Hospital Pablo Tobón Uribe, Medellín, Colombia;; Department of Pathology, Dinámica IPS, Medellín, Colombia. 6. Department of Surgery, Hospital Pablo Tobón Uribe, Medellín, Colombia. 7. Department of Surgery, Universidad de Antioquia, Medellín, Colombia.
Abstract
BACKGROUND: Parathyroid cyst is an infrequent and unsuspected disease. There are more than 300 hundred cases reported in the world literature, a few of them are from Latin America. The experience of our centers and a review of the cases are presented. METHODS: Case report of a series of patients with parathyroid cyst from our institutions according to the CARE guidelines (Case Reports). A search of Medline, Embase, BIREME (Biblioteca Regional de Medicina) LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), Google Scholar and Scielo (Scientific Electronic Library on Line) databases and telephonic or email communications with other experts from Latin-America was performed . RESULTS: Six patients with parathyroid cyst were found in our centers in Colombia. Most of them were managed with aspiration of the cyst. Two of them required surgery. Only one case was functional. Twelve reports from Latin America were found for a total of 18 cases in our region adding ours. CONCLUSIONS: Parathyroid cysts are uncommonly reported in Latin America. Most of them are diagnosed postoperatively. Suspicion for parathyroid cyst should be raised when a crystal clear fluid is aspirated from a cyst. The confirmation of the diagnosis may be easily done if parathyroid hormone (PTH) level is measured in the cyst fluid.
BACKGROUND: Parathyroid cyst is an infrequent and unsuspected disease. There are more than 300 hundred cases reported in the world literature, a few of them are from Latin America. The experience of our centers and a review of the cases are presented. METHODS: Case report of a series of patients with parathyroid cyst from our institutions according to the CARE guidelines (Case Reports). A search of Medline, Embase, BIREME (Biblioteca Regional de Medicina) LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), Google Scholar and Scielo (Scientific Electronic Library on Line) databases and telephonic or email communications with other experts from Latin-America was performed . RESULTS: Six patients with parathyroid cyst were found in our centers in Colombia. Most of them were managed with aspiration of the cyst. Two of them required surgery. Only one case was functional. Twelve reports from Latin America were found for a total of 18 cases in our region adding ours. CONCLUSIONS: Parathyroid cysts are uncommonly reported in Latin America. Most of them are diagnosed postoperatively. Suspicion for parathyroid cyst should be raised when a crystal clear fluid is aspirated from a cyst. The confirmation of the diagnosis may be easily done if parathyroid hormone (PTH) level is measured in the cyst fluid.
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