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Parathyroid Adenoma (Cut Surface)
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Parathyroid Adenoma (Cut Surface)

Homogeneous red tan surface of adenoma.
Cannot identify any normal gland compressed to one side.
Cannot predict histologic cell type based on gross.
Cannot prove this is adenoma vs. hyperplasia without seeing other glands either grossly or microscopically.
(Description By:Melinda Sanders, M.D. )
(Image Contrib. by: UCHC )
Parathyroid Adenoma
Etiology

unknown
Pathogenesis

unknown
secretes unregulated parathormone resulting in elevation of serum calcium by renal retention, GI absorption and bone mobilization,
Epidemiology

25/100,000 in US
3:1 female predominance
age > 50
General Gross Description

Single
Red-tan
Occasionally can see compressed rim of normal parathyroid
General Microscopic Description

Composed of any cell types within parathyroid
No stromal or intracellular fat
May see compressed rim of normal parathyroid
Nuclear atypia and mitoses are NOT indicative of malignancy
Clinical Correlation

usually detected in asymptomatic patient
rarely see evidence of osteitis fibrosa cystica (due to osteoclast activity and bone resorption) and renal stones
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1144-146
Parathyroid Adenoma
Synopsis by: Melinda Sanders m.D. (T97000M81400)[148]
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