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May 1966

Parathyroid Cysts

Author Affiliations

From the Department of Medicine, Atomic Bomb Casualty Commission, Hiroshima, Japan, a Cooperative Research Agency of the USA National Academy of Science—National Research Council and Japanese National Institute of Health of the Ministry of Health and Welfare.

Arch Surg. 1966;92(5):785-790. doi:10.1001/archsurg.1966.01320230133024

A MASS in the neck often poses a perplexing diagnostic problem. Most nodules in the anterior and lower portion of the neck are thyroid gland outgrowths or are lymph nodes enlarged by infectious or malignant diseases. Parathyroid cysts, also found in this area, are seldom considered in the preoperative diagnosis of anterior cervical nodules.

Such a lesion is described here with a review of the literature. Certain characteristics are indicated which may aid in diagnosis and management.

Although microscopic cysts are frequent in the normal parathyroid,1,2 relatively few clinically significant lesions have been reported. Goris in 1905 reported the first case.3 He removed a triloculated cyst adjacent to the left lobe of the thyroid gland in a 22-year-old man. By 1945, only three more parathyroid cysts had been reported.4-6 Including the present case, 30 patients have been reported to date in whom a mass was palpable in

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