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We speculate that the cause of our patient's decompensation was cystic degeneration of a preexisting adenoma. The histopathologic characteristics of parathyroid cysts are usually a smooth inner surface wall with a thin, tough membranous lining.typical cystic parathyroid adenomas are a rare clinical entity. Atypical adenomas exhibit some pathologic features of carcinoma, but they lack the indisputable evidence of a malignant lesion, such as angioinvasion or metastatic involvement.
Here we describe 4 cases with cystic lesions of the parathyroid gland. Three of these (Cases 1,2 and 3) had parathyroid adenomas with cystic degeneration whereas Case 4 had a true parathyroid cyst. Cystic lesions of the parathyroid gland are rare (0.5%â1% of all parathyroid pathologies).Macroscopic cysts larger than 1 cm in diameter are referred to as parathyroid cysts. These lesions can be either true parathyroid cysts or cystic degeneration of parathyroid adenomas.ey Word: parathyroid cyst; cystic parathyroid adenoma; parathyroid adenoma. A 59-year-old female was referred for asymptomatic hypercalcemia (calcium 12.5 mg/dl, albumin 3.2 mg/dl) detected on routine health check. She complained of having a neck swelling which had not increased over the last 1year.