Parathyroid gland
Tertiary hyperparathyroidism

Author: Monika Roychowdhury, M.D. (see Authors page)

Revised: 11 April 2018, last major update January 2013

Copyright: (c) 2003-2018,, Inc.

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

Cite this page: Roychowdhury, M. Tertiary hyperparathyroidism. website. Accessed July 21st, 2018.
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)