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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Frontiers Media S.A.
2022-09-01
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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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