非功能性甲状旁腺囊肿的鉴别诊断与治疗

Differential Diagnosis and Treatment of Nonfunctional Parathyroid Cyst

目的探讨非功能性甲状旁腺囊肿的鉴别诊断与治疗。方法回顾性分析中国医科大学附属盛京医院普外科2003年1月至2013年4月期间收治的6例非功能性甲状旁腺囊肿患者的临床资料。结果 6例患者术前均未确诊,其中4例诊断为甲状腺囊肿,1例笼统诊断为颈部肿物,1例仅注意了甲状腺病变。6例均行手术治疗,其中5例行左甲状旁腺囊肿切除术,1例同时行甲状腺癌根治、左甲状旁腺囊肿切除术。术后病理报告5例为甲状旁腺囊肿,1例为甲状旁腺囊肿合并右甲状腺乳头状微小癌。2例患者失访;4例患者随访9~24个月,平均19个月,均无甲状旁腺囊肿及甲状腺癌的复发或转移。结论非功能性甲状旁腺囊肿是真正意义上的甲状旁腺囊肿,临床少见,术前确诊率低。甲状旁腺囊肿切除术是一种安全而有效的治疗手段。

Objective To evaluate the differential diagnosis and treatment of nonfunctional parathyroid cyst. Methods The data of 6 patients with nonfunctional parathyroid cyst, who underwent operation in general surgical department of China Medical University Shen^ing Hospital between January 2003 and April 2013 were retrospectively analized. Results No patient got definite diagnosis before operation. Preoperative diagnosis were thyroid cyst in 4 patients, neck mass in 1 patient, and thyroid cancer in 1 patient. All patients received operation, included parathyroid cystectomy in 5 patients and thyroid cancer radical resection plus parathyroid cystectomy in 1 patient. Two patients were lost to follow-up, 4 patients were followed-up for 9-24 months, average 19 months, there were no parathyroid cyst and thyroid cancer recurrence or metastasis. Conclusions Nonfunctional parathyroid cyst is true cyst, it is rare lesion in neck, and preoperative definite diagnosis rate is low. The cystectomy is a safe and effective treatment method.