Parathyroid adenoma

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Mild hyperparathyroidism.

Patient Data

Age: 25 years
Gender: Male
ultrasound

Immediately inferior to the left lower thyroid pole is a hypoechoic ovoid nodule with an apparent polar vessel on Doppler.

Case Discussion

The patient underwent a parathyroidectomy.

Histopathology

Macroscopic description: Left parathyroid: One tan tissue nodule, 13 x 7 x 3 mm, fixed weight: 0.19 g.

Microscopic description:  Sections show a nodular, hypercellular area of parathyroid tissue, with some adjacent normal parathyroid. There is no evidence of malignancy.

Diagnosis: Left parathyroid: consistent with a parathyroid adenoma

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