Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review

Parathyroid adenoma (PA), one of the most common causes of hyperparathyroidism, generally involves a single parathyroid gland and is manifested as hyperparathyroidism. Bronchogenic cysts are rare congenital cystic lesions caused by a development malformation in bronchi during the embryonic period, w...

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Main Authors: Dong-Ning Lu, Wan-Chen Zhang, Chuan-Ming Zheng, Ming-Hua Ge, Jia-Jie Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.947422/full
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author Dong-Ning Lu
Wan-Chen Zhang
Chuan-Ming Zheng
Chuan-Ming Zheng
Ming-Hua Ge
Ming-Hua Ge
Jia-Jie Xu
Jia-Jie Xu
author_facet Dong-Ning Lu
Wan-Chen Zhang
Chuan-Ming Zheng
Chuan-Ming Zheng
Ming-Hua Ge
Ming-Hua Ge
Jia-Jie Xu
Jia-Jie Xu
author_sort Dong-Ning Lu
collection DOAJ
description Parathyroid adenoma (PA), one of the most common causes of hyperparathyroidism, generally involves a single parathyroid gland and is manifested as hyperparathyroidism. Bronchogenic cysts are rare congenital cystic lesions caused by a development malformation in bronchi during the embryonic period, which mostly occur in the lung and mediastinum, with an extremely low morbidity rate in the neck. A 27-year-old young female was found to suffer from hyperparathyroidism on routine physical examination, and further examination suggested a cystic lesion in the right inferior parathyroid area combined with a tracheal diverticulum. Therefore, she was initially diagnosed with cystic hyperplasia of the parathyroid glands complicated by a tracheal diverticulum. Gasless endoscopic resection of neck masses via an axillary approach was performed because of the high requirements for the surgical cosmetic effect of the patient. During the surgery, we observed that the preoperatively diagnosed cystic lesion was a combination of two masses, which were successfully resected under endoscopy. Based on the postoperative pathology and clinical features, the patient was eventually diagnosed with a rare case of triple diseases including PA, cervical bronchial cyst, and tracheal diverticulum. Now, the patient recovered well as per the follow-up with no signs of recurrence and was extremely satisfied with the cosmetic effect of the surgery.
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spelling doaj.art-fe69349ec3a54492b4f813caddd33c172022-12-22T03:47:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.947422947422Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature reviewDong-Ning Lu0Wan-Chen Zhang1Chuan-Ming Zheng2Chuan-Ming Zheng3Ming-Hua Ge4Ming-Hua Ge5Jia-Jie Xu6Jia-Jie Xu7Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaSecond Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaOtolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Afliated People’s Hospital, Hangzhou Medical College, Hangzhou, ChinaKey Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, ChinaOtolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Afliated People’s Hospital, Hangzhou Medical College, Hangzhou, ChinaKey Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, ChinaOtolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Afliated People’s Hospital, Hangzhou Medical College, Hangzhou, ChinaKey Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, ChinaParathyroid adenoma (PA), one of the most common causes of hyperparathyroidism, generally involves a single parathyroid gland and is manifested as hyperparathyroidism. Bronchogenic cysts are rare congenital cystic lesions caused by a development malformation in bronchi during the embryonic period, which mostly occur in the lung and mediastinum, with an extremely low morbidity rate in the neck. A 27-year-old young female was found to suffer from hyperparathyroidism on routine physical examination, and further examination suggested a cystic lesion in the right inferior parathyroid area combined with a tracheal diverticulum. Therefore, she was initially diagnosed with cystic hyperplasia of the parathyroid glands complicated by a tracheal diverticulum. Gasless endoscopic resection of neck masses via an axillary approach was performed because of the high requirements for the surgical cosmetic effect of the patient. During the surgery, we observed that the preoperatively diagnosed cystic lesion was a combination of two masses, which were successfully resected under endoscopy. Based on the postoperative pathology and clinical features, the patient was eventually diagnosed with a rare case of triple diseases including PA, cervical bronchial cyst, and tracheal diverticulum. Now, the patient recovered well as per the follow-up with no signs of recurrence and was extremely satisfied with the cosmetic effect of the surgery.https://www.frontiersin.org/articles/10.3389/fonc.2022.947422/fullcervical bronchogenic cystminimally invasive surgeryaxillary approachtracheal diverticulumparathyroid adenoma
spellingShingle Dong-Ning Lu
Wan-Chen Zhang
Chuan-Ming Zheng
Chuan-Ming Zheng
Ming-Hua Ge
Ming-Hua Ge
Jia-Jie Xu
Jia-Jie Xu
Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review
Frontiers in Oncology
cervical bronchogenic cyst
minimally invasive surgery
axillary approach
tracheal diverticulum
parathyroid adenoma
title Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review
title_full Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review
title_fullStr Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review
title_full_unstemmed Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review
title_short Case report: Successful treatment of a rare case of combined parathyroid adenoma, cervical bronchogenic cyst, and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach: A case report and literature review
title_sort case report successful treatment of a rare case of combined parathyroid adenoma cervical bronchogenic cyst and tracheal diverticulum with gasless endoscopic resection of neck masses via an axillary approach a case report and literature review
topic cervical bronchogenic cyst
minimally invasive surgery
axillary approach
tracheal diverticulum
parathyroid adenoma
url https://www.frontiersin.org/articles/10.3389/fonc.2022.947422/full
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