Parathyroid gland
Tertiary hyperparathyroidism

Topic Completed: 1 January 2013

Minor changes: 6 February 2019

Copyright: 2003-2019,, Inc.

PubMed Search: Tertiary hyperparathyroidism[TI] full text[sb]

Monika Roychowdhury, M.D.
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Cite this page: Roychowdhury M. Tertiary hyperparathyroidism. website. Accessed September 19th, 2020.
Definition / general
  • Autonomous parathyroid hyperplasia / adenoma arising from secondary hyperparathyroidism
  • Often detected after hemodialysis or transplantation corrects the renal disease
  • Surgical excision
Gross description
  • 10 - 40x increase in parathyroid mass
Microscopic (histologic) description
  • Marked hyperplasia, with predominance of chief cells and abundance of oxyphil cells (Hum Pathol 1985;16:772)
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