A 54-year-old woman with primary hyperparathyroidism underwent parathyroid exploration following negative ultrasonography, CT and 99Tc-201T1 scintigraphy. A 2 × 1.5 × 1-cm large mass dorsal to the midportion of the left thyroid lobe was extirpated and a hyperfunctional lipoadenoma containing 70% or more of fatty tissue was verified microscopically. Retrospective evaluation of CT revealed a well demarcated lipomatous mass with a homogeneous density similar to that of subcutaneous fat corresponding to the surgical finding.
Abdul-HajS. K.ConklinH.HewittW. C.: Functioning lipoadenoma of the parathyroid gland. Report of a unique case. N. Engl. J. Med.266 (1962), 121.
2.
BleiweissI. J.HarpazN.StrauchenJ. A.WagnerR.BillerH. F.: Functioning lipoadenoma of the parathyroid. Case report and literature review. Mt. Sinai J. Med.56 (1989), 114.
3.
DarocaP. J.LandauR. L.ReedR. J.KappelmanM. D.: Functioning lipoadenoma of the parathyroid gland. Arch. Pathol. Lab. Med.101 (1977), 28.
4.
DufourD. R.WilkersonS. Y.: The normal parathyroid revisited. Percentage of stromal fat. Hum. Pathol.13 (1982), 717.
5.
FrancisI. R.GlazerG. M.BooksteinF. L.GrossB. H.: The thymus. Reexamination of age-related changes in size and shape. AJR145 (1985), 249.
GrimeliusL.ÅkerströmG.JohanssonH.BergströmR.: Anatomy and histopathology of human parathyroid glands. In: Pathology annual, part 2, vol. 16, p. 1. Edited by SummersS.RosenP. P., Appleton-Century-Crofts, New York1981.
9.
ObaraT.FujimotoY.ItoY.: Functioning parathyroid lipoadenoma – report of four cases. Clinicopathological and ultrasonographic features. Endocrinol. Japon.36 (1989), 135.
10.
OberW. B.KaiserG. A.: Hamartoma of the parathyroid. Cancer11 (1958), 601.
11.
RothS. I.: Pathology of the parathyroids in hyperparathyroidism. Arch. Pathol.73 (1962), 75.
12.
SommerB.WelterH. F.SpelsbergF.SchererU.LissnerJ.: Computed tomography for localizing enlarged parathyroid glands in primary hyperparathyroidism. J. Comput. Assist. Tomogr.6 (1982), 521.
13.
StrausF. H.KaplanE. L.NishiyamaR. H.BigosS. T.: Five cases of parathyroid lipohyperplasia. Surgery94 (1983), 901.
14.
UdénP.AspelinP.BerglundJ.: Preoperative localization in unilateral parathyroid surgery. A cost-benefit study on ultrasound, computed tomography and scintigraphy. Acta Chir. Scand.156 (1990), 29.
15.
UdénP.BerglundJ.ZederfeldtB.AspelinP.LjungbergO.: Parathyroid lipoadenoma. A rare cause of primary hyperparathyroidism. Acta Chir. Scand.153 (1987), 635.
16.
WeilandL. H.GarrisonR. C.ReMineW. H.ScholzD. A.: Lipoadenoma of the parathyroid gland. Am. J. Surg. Pathol.2 (1978), 3.