title: Parathyromatosis: critical diagnosis regarding surgery and pathologic evaluation.
abstract: Parathyromatosis, in which several nodules of hyperfunctioning parathyroid tissue form in the neck and mediastinum, is a rare cause of recurrent hyperparathyroidism. However, there are some theories regarding the origin of parathyromatosis, and seeding after rupture of the parathyroid gland capsule during surgical removal of a parathyroid lesions is the most regarded one. Herein, we report a 41-year-old man who presented with multiple parathyroid nodules in and around the left thyroid lobe 5 years after parathyroid surgery for secondary hyperparathyroidism that was finally diagnosed as parathyromatosis. We discuss the differential diagnosis of parathyromatosis from other parathyroid tumors, particularly from parathyroid carcinoma, which is important in the management of a suspected lesion.
authors.affiliation: Department of Pathology, Izmir Atatürk Training and Research Hospital, Yesilyurt, Izmir, Turkey.
authors.forename: Ayşegül
authors.initials: A
authors.lastname: Aksoy-Altinboga
authors.forename: Ayşegül
authors.initials: A
authors.lastname: Akder Sari
authors.forename: Türkan
authors.initials: T
authors.lastname: Rezanko
authors.forename: Mehmet
authors.initials: M
authors.lastname: Haciyanli
authors.forename: Aylin
authors.initials: A
authors.lastname: Orgen Calli
keywords: Adenoma; Carcinoma; Parathyroid; Parathyromatosis