1. Patient details
• Female 46 years
• Hospital No: 1647234
• Biopsy no: 394/2020
• Clinical Diagnosis : Right superior parathyroid adenoma
• Nature of Specimen : Right superior parathyroid mass
.
2. GROSS
• Received two grey white nodular
pieces of tissue
• largest ⓜ 2.2 x 1.8 x 0.7 cm
• smallest ⓜ 0.7 x 0.7 x 0.3 cm.
• External surface shows yellowish
fatty and brownish congested areas.
• Cut section shows yellowish to dark
brown areas.
4. MICROSCOPY
Tumor cells are arranged predominantly in sheets and acinar pattern
transversed by a delicate vascular network in the form of fibrovascular septae and blood vessels
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8. Parathyroid Adenoma or Parathyroid Hyperplasia?
Definite criteria by which a
diagnosis of adenoma can
be made over that of
parathyroid hyperplasia
• The presence of a rim of
normal parathyroid tissue
around the mass.
• The identification of at
least a second normal
parathyroid gland.
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