Breaking News. New publication available!
- Carlos E Costa Almeida
- 24 de nov.
- 1 min de leitura
Cystic parathyroid adenoma is a rare entity that should be considered in the presence of primary hyperparathyroidism (PHPT) with a cystic lesion within the area of the parathyroid glands. They represent less than 0.5% of parathyroid lesions and can be misdiagnosed with other cystic lesions.
A new publication in BMJ Case Rep, resulting from the collaboration of the Endocrinology (Dr. Andreia Fernandes and Dr. Joana Couto) and Head & Neck Surgery (Dr. Carlos E. Costa Almeida) Departments of Portuguese Oncology Institute of Coimbra (IPO Coimbra), is now available, highlighting the difficulties of diagnosing a cystic parathyroid adenoma responsible for a PHPT in a female patient. Besides the location and surgical approach of the lesion, the interest of this case lies in the misdiagnosis as an esophageal cyst. The strong clinical suspicion, combined with the Choline PET/CT, was paramount for the surgical decision.
Rare entities exist and must be taken into consideration. Knowing about rarities is the only way to diagnose them. Those who only have knowledge of the common entities will make many mistakes. Ignorance is audacious.
Feel free to check this article published in the BMJ Case Rep 2025 – “Mediastinal parathyroid cyst: a diagnostic challenge”. You will find images of several pre-operative studies (including the 11C-Choline PET/CT) and the surgical specimen. Amazing!
Link to the article:
Dr Carlos Eduardo Costa Almeida
General Surgeon
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