Myxoid lipoadenoma of parathyroid gland: a case report and literature review.
ABSTRACT Myxoid lipoadenoma of the parathyroid gland is a rare variant of parathyroid adenoma. We present the case of a 40-year-old man with asymptomatic hypercalcemia who underwent surgical removal of a parathyroid adenoma. Histologically, the tumor consisted of monomorphous round-to-oval chief cells arranged in several architectural patterns including solid sheet-like, trabecular, and follicular. The tumor stroma was prominently myxoid with interspersed mature adipose tissue. Immunohistochemistry confirmed expression of thyroid transcription factor and parathyroid hormone by all tumor cells and a low proliferation rate with a Ki-67 labeling index of at most 5%. Although the lesion exhibited characteristics that have been previously associated with "atypical parathyroid adenoma," such as dense fibrous bands within the tumor and a trabecular growth pattern, there was no further evidence, neither histologically nor clinically, for malignant behavior of the tumor.
Article: Ectopic lipoadenoma of parathyroid.[Show abstract] [Hide abstract]
ABSTRACT: A parathyroid lipoadenoma is a very rare cause of mediastinal mass. The clinical features of this pathologic entity is similar to those of the more common pathologic variants of parathyroid disease associated with primary hyperparathyroidism. A 58-year-old woman presented with huge multinodular goiter. Her thoracic CT scan was done before surgery, showed a posterior mediastinal mass. On microscopic examination, the thyroid was composed of thyroid follicles in varies sizes, compatible with a multinodular goiter and the mediastinal mass, microscopically, was composed of epithelial cells arranged in follicular and cellular nests pattern alter with abundant mature adipose tissue, morphologically closely resembled parathyroid tissue. Thyroid, mesenchymal and neuroendocrine origin for this tumor excluded by immunohistochemistry and the mass was diagnosed as a parathyroid lipoadenoma. In our case, there is a non functional parathyroid lipoadenoma with a very rare presence.Journal of research in medical sciences 10/2012; 17(10):983-4. · 0.61 Impact Factor
Article: Parathyroid lipoadenoma.ANZ Journal of Surgery 11/2013; DOI:10.1111/ans.12443 · 1.12 Impact Factor
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ABSTRACT: Parathyroid lipoadenomas are a rare and benign variant of parathyroid adenomas that are defined morphologically by an abundance of fat cells. They may be functional with secretion of parathyroid hormone or nonfunctional. We present a case of a parathyroid lipoadenoma in a patient presenting with clinical manifestations of severe primary hyperparathyroidism. Unusual features in this case included the ectopic location of the lipoadenoma in the mediastinum, the significant size of 6.6 × 3.4 cm, and weight of 30.1 g. In addition to the large size of this generally benign type of parathyroid neoplasm, histologic findings included focal band-forming fibrosis compatible with the diagnosis of an atypical parathyroid adenoma. In conclusion, this case illustrates a difficult case of an ectopic functioning parathyroid lipoadenoma with chronic sequelae due to severe hyperparathyroidism.Journal of Bone and Mineral Metabolism 12/2012; 31(5). DOI:10.1007/s00774-012-0416-7 · 2.11 Impact Factor