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CASE REPORT
Year : 2013  |  Volume : 17  |  Issue : 5  |  Page : 927-929

Local recurrence as a first sign of parathyroid malignancy! Need to redefine the criteria for diagnosis of parathyroid carcinoma


1 Department of Endocrine Surgery, Narayana Medical College and Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
2 Department of Pathology, Narayana Medical College and Superspeciality Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India

Correspondence Address:
P V Pradeep
Department of Endocrine Surgery, Narayana Medical College and Superspeciality Hospital, Chinthareddypalem, Nellore 524 002, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.117222

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Pathological criteria alone do not make an accurate diagnosis of parathyroid carcinoma in cases of well-defined organ contained lesion without local and distant metastasis. Intra-operative appearance of pale, grayish, firm tumor is highly suggestive of parathyroid carcinoma, even though this finding is not included in the pathological criteria for diagnosing a malignancy. Gross features of the tumor also should be added to the pathological criteria so as to ensure an accurate assessment of the biological behavior of the parathyroid tumor.


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