Parathyroid hyperplasia of auto-transplanted tissue in forearm skin.
Currently, the treatment of choice for refractory tertiary hyperparathyroidism is a total parathyroidectomy with autotransplantation of the parathyroid tissue into the forearm. Recurrent hyperparathyroidism after autotransplantation requiring surgical excision of the autograft is uncommon. We describe a female patient with recurrent hyperplasia who underwent an excision of her parathyroid autograft. The excisional specimen was submitted to pathology with the only provided history of a 'left arm mass'. The lack of clinical history led to a preliminary impression of an adnexal neoplasm by the primary pathologist.
Padgett
Sabrina N
SN
Cutaneous Pathology, WCP Laboratories, Inc., Maryland Heights, MO 63043, USA. spadgett@slu.edu
Walsh
Sarah N
SN
Santa Cruz
Daniel J
DJ
D000328:Adult; D005260:Female; D005542:Forearm / Q000473:pathology* / Q000601:surgery; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000601:surgery*; D006965:Hyperplasia / Q000473:pathology; D007676:Kidney Failure, Chronic / Q000150:complications; D010280:Parathyroid Glands / Q000473:pathology* / Q000637:transplantation*; D014182:Transplantation, Autologous