scholarly journals A case of co-existent parathyroid adenoma and thyroid papillary carcinoma. Diagnostic pitfalls in fine-needle aspiration cytology of parathyroid adenomas.

1995 ◽  
Vol 34 (4) ◽  
pp. 687-691
Author(s):  
Mamoru MOCHIZUKI ◽  
Kyoko YOSHIDA ◽  
Michiko HIRUTA ◽  
Kikuo MORI ◽  
Mamoru NAGAKUBO ◽  
...  
2006 ◽  
Vol 34 (8) ◽  
pp. 580-584 ◽  
Author(s):  
Arvind Rajwanshi ◽  
Kirti Gupta ◽  
Nalini Gupta ◽  
Rajeev Shukla ◽  
Radhika Srinivasan ◽  
...  

2018 ◽  
Vol 10 (01) ◽  
pp. 118-120 ◽  
Author(s):  
Sandeep S. Ojha ◽  
Jyoti Valecha ◽  
Abhishek Sharma ◽  
Ramrao Nilkanthe

AbstractBrown tumor (BT) is caused by altered metabolism of calcium resulting from hyperparathyroidism (primary or secondary). The most common cause of hyperparathyroidism is isolated parathyroid adenoma (PA), and the most common symptoms are hypercalcemia related. BT is considered as a late manifestation of PA and usually diagnosed after surgical treatment of the bony lesion. Fine-needle aspiration cytology (FNAC) is a cheap, easy, and less traumatic procedure and should be performed in all lesions wherever possible as unnecessary surgeries may be avoided. We here report a rare case of PA presenting primarily as BT and diagnosed on FNAC.


Medicina ◽  
2020 ◽  
Vol 56 (11) ◽  
pp. 558
Author(s):  
Hwa Jeong Ha ◽  
Eun Ju Kim ◽  
Jung-Soon Kim ◽  
Myung-Soon Shin ◽  
Insup Noh ◽  
...  

Background: It is difficult to distinguish parathyroid lesions (PLs) from thyroid lesions using fine needle aspiration cytology (FNAC) because of their proximity and their similar cytomorphological features. Methods: FNAC smears of 46 patients with pathologically proven PLs that were histologically diagnosed as parathyroid adenoma (PA, n = 35), parathyroid hyperplasia (PH, n = 3), atypical parathyroid adenoma (APA, n = 1), and parathyroid carcinoma (PC, n = 7) were retrospectively reviewed and analyzed. Results: Our initial cytological diagnoses indicated correct diagnoses in 31 of 46 PL patients (67%). The 15 erroneous diagnoses were 5 patients with non-specific benign disease (11%), 4 with nodular hyperplasia of the thyroid (9%), 5 with atypical cells (11%), and 1 with a metastatic papillary thyroid carcinoma (2%). Follicular pattern, papillary structures, colloid-like material, and macrophages, which often suggest thyroid lesions, were also present in some PLs. We found that branching capillaries along the papillary structures, stippled nuclear chromatin, and frequent occurrence of naked nuclei were useful for determining a parathyroid origin. Conclusions: It is important to be aware that PLs are frequently mistaken for thyroid lesions based on FNAC. The specific and unique characteristics of PLs identified here may be helpful in diagnosis.


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