Objective:to investigate the clinical and pathological characteristics of bronchial cyst of the posterior mediastinum misdiagnosed as a ganglioneuroma,and to improve the level of their diagnosis,diflerential diagnosis...Objective:to investigate the clinical and pathological characteristics of bronchial cyst of the posterior mediastinum misdiagnosed as a ganglioneuroma,and to improve the level of their diagnosis,diflerential diagnosis,and treatment.Methods:the clinical data and pathological findings of a young woman misdiagnosed with a ganglioneuroma was collected and analyzed,and the relevant literature were reviewed.Results:the patient had no specific clinical symptoms.The right posterior mediastinum was accidentally found due to a physical examination for COVID-19.The enhanced chest computed tomography(CT)showed a ganglioneuroma.After a thoracoscopic resection of the lesion,a pathological diagnosis revealed a posterior mediastinal bronchial cyst.Conclusion:bronchial cyst of the mediastinum is rare and their clinical symptoms are atypical and can be easily diagnosed as a ganglioneuroma.It can be preliminarily judged by laboratory and imaging examination and con-finned by pathological examination.The main treatment is surgical resection.展开更多
Hypercalcemic crisis, generally accepted as serum calcium concentration greater than 3.5 mmol/L,constitues a life-threatening endocrinologic emergency,and is most frequently caused by either primary hyperparathyroidi...Hypercalcemic crisis, generally accepted as serum calcium concentration greater than 3.5 mmol/L,constitues a life-threatening endocrinologic emergency,and is most frequently caused by either primary hyperparathyroidism （PHPT） or malignant diseases.Parathyroid cysts are uncommon lesions, most of that are located in the low part of the neck. By routine neck ultrasound scan investigation in a large series of 6621 patients, only 5 parathyroid cysts were detected, yielding a prevalence of 0.075% in setting of unselected patients.The parathyroid cysts in the mediastinum are much less frequently encountered, with only 106 cases reported in English literature.2,3 Moreover, less than half of these cases presented as functional with elevated serum calcium and parathyroid hormone, and only 10 cases were associated with hypercalcemic crisis.3 Herein, we present a rare case of mediastinal parathyroid cyst associated with recurrent hypercalcemic crisis, which diagnosed by ultrasound-guided fine needle aspiration （FNA）.展开更多
文摘Objective:to investigate the clinical and pathological characteristics of bronchial cyst of the posterior mediastinum misdiagnosed as a ganglioneuroma,and to improve the level of their diagnosis,diflerential diagnosis,and treatment.Methods:the clinical data and pathological findings of a young woman misdiagnosed with a ganglioneuroma was collected and analyzed,and the relevant literature were reviewed.Results:the patient had no specific clinical symptoms.The right posterior mediastinum was accidentally found due to a physical examination for COVID-19.The enhanced chest computed tomography(CT)showed a ganglioneuroma.After a thoracoscopic resection of the lesion,a pathological diagnosis revealed a posterior mediastinal bronchial cyst.Conclusion:bronchial cyst of the mediastinum is rare and their clinical symptoms are atypical and can be easily diagnosed as a ganglioneuroma.It can be preliminarily judged by laboratory and imaging examination and con-finned by pathological examination.The main treatment is surgical resection.
文摘Hypercalcemic crisis, generally accepted as serum calcium concentration greater than 3.5 mmol/L,constitues a life-threatening endocrinologic emergency,and is most frequently caused by either primary hyperparathyroidism （PHPT） or malignant diseases.Parathyroid cysts are uncommon lesions, most of that are located in the low part of the neck. By routine neck ultrasound scan investigation in a large series of 6621 patients, only 5 parathyroid cysts were detected, yielding a prevalence of 0.075% in setting of unselected patients.The parathyroid cysts in the mediastinum are much less frequently encountered, with only 106 cases reported in English literature.2,3 Moreover, less than half of these cases presented as functional with elevated serum calcium and parathyroid hormone, and only 10 cases were associated with hypercalcemic crisis.3 Herein, we present a rare case of mediastinal parathyroid cyst associated with recurrent hypercalcemic crisis, which diagnosed by ultrasound-guided fine needle aspiration （FNA）.
