RESUMO
Background/Objective: Parathyroid cysts (PC) are a rare cause of cervical masses, with an ectopic intrathyroidal location being even more rare, with only 9 cases reported in the literature. We present a case of a recurrent intrathyroidal cyst successfully treated with ethanol sclerotherapy. Case Report: A 64-year-old woman presented to our clinic in 2017 with a cervical prominence and recurrent pressure sensation in her left lower neck. She had a history of multiple cyst aspiration drainage procedures for a recurrent intrathyroidal PC. Ultrasound revealed a simple cyst measuring 5.1 cm × 2.1 cm × 1.7 cm encompassing most of the left thyroid lobe. Parathyroid hormone level in the cyst fluid was elevated, but serum calcium and parathyroid hormone levels were within normal range. To prevent additional recurrences, ethanol sclerosis of the cyst was performed. After 6 years of follow-up, the patient remains asymptomatic and without evidence of PC recurrence. Discussion: Although surgical resection of PC can be performed, in the case of an intrathyroidal PC, this would involve loss of functional thyroid tissue and the potential risk of postoperative hypothyroidism. Ethanol sclerosis has been successfully utilized to shrink both thyroid cysts and orthotopically positioned PCs while preserving thyroid tissue. In this case, ethanol sclerosis was used to successfully manage an intrathyroidal PC. Conclusion: Based on the excellent response in this case and reports of efficacy of sclerosis in orthotopically positioned PCs, we conclude that ethanol sclerotherapy seems to be an effective treatment option for recurrent intrathyroidal PCs.
RESUMO
Objetivo: Determinar el factor de riesgo (FR) suicida según dos cuestionarios y factores asociados que presentan los estudiantes de la Universidad Nacional de Colombia, sede Manizales (Caldas, Colombia) en la jornada diurna. Materiales y métodos: La investigación fue de tipo corte transversal; la población estuvo constituida por 255 estudiantes de 3 facultades de la Universidad. Resultados: Prevalencia de riesgo suicida: 6,7 %, según Plutchik; 19,7 %, según Beck. Buena funcionalidad familiar: 39,8 %. Depresión ausente: 55,7 %. Se encontró una relación significativa entre el FR suicida, según Plutchik, y factores como el género, el gusto por el metal y la balada, la práctica de un deporte, hacer aeróbicos, la presencia de cuadros depresivos y la funcionalidad familiar. Según Beck, dichos factores son género musical metal, depresión y funcionalidad familiar. Conclusiones: La prevalencia de riesgo suicida en esta población es inferior a la encontrada en otros estudios en poblaciones similares.
Objective: to determine suicide risk and other related factors according to two surveys conducted at the Universidad Nacional de Colombia of Manizales (Caldas, Manizales). Materials and Methods: cross-sectional design with 255 students of 3 programs of the Universidad Nacional. Results: prevalence of suicide tendency according to Plutchik: 6,7 %; according to Beck: 19,7 %. Good family functioning: 39,8 %; absent depression: 55,7 %. A significant correlation was found between suicide risk factor (Plutchnik) and gender, metal musical, exercise, depression, and family functioning. According to Beck, these factors are metal musical gender, depression and family functioning. Conclusions: The prevalence of suicide risk in this population is below the average when compared to other research.
