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Published on: August 17, 2022
Parathyroid adenoma with ectopic intrathymic parathyroid--a case report
Reena Bharadwaj1, S K Nema, A K Pujahari
1Dept of Pathology, Armed Forces Medical College, Pune 411040. reenabharadwaj@hotmail.com
Indian Journal of Pathology & Microbiology
|June 9, 2006
Summary
A rare case of parathyroid adenoma presenting with fractures and neck swelling in a young female is described. Early detection and surgical removal of ectopic parathyroid tissue are crucial to prevent neoplastic changes.
Area of Science:
- Endocrinology
- Surgical Pathology
Background:
- Ectopic parathyroid glands can develop in various locations, including the thymus.
- Neoplastic changes in ectopic parathyroid tissue can mimic other malignancies.
Observation:
- A 14-year-old female presented with flank swelling, multiple fractures, and a neck nodule.
- Investigations suggested a parathyroid adenoma, confirmed by histopathology after surgical excision.
- An intrathymic parathyroid gland was incidentally discovered during surgery.
Findings:
- Histopathology confirmed a mixed chief and oxyphil cell type parathyroid adenoma.
- The presence of an ectopic intrathymic parathyroid gland was noted.
- The patient's symptoms were attributed to the parathyroid adenoma.
Implications:
- This case underscores the importance of identifying ectopic parathyroid glands in unusual locations.
- Undetected ectopic parathyroid tissue carries a risk of neoplastic transformation.
- Prompt surgical intervention is necessary for functional or neoplastic ectopic parathyroid tissue.
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