Ducatman B S, Wilkerson S Y, Brown J A
Arch Pathol Lab Med. 1986 Jul;110(7):645-7.
Lipoadenoma of the parathyroid gland is an unusual cause of primary hyperparathyroidism. Inasmuch as they may grossly resemble lipoma more than parathyroid adenoma, these tumors may be missed by surgeons and surgical pathologists alike. In this case, the diagnosis was made during surgery utilizing touch preparations because frozen sections were technically difficult to perform due to the fat content of the tumor. Examination of multiple sections disclosed a neoplastic proliferation of parathyroid cells, thus supporting the premise that this entity represented an adenoma rather than a hamartoma.
甲状旁腺脂肪腺瘤是原发性甲状旁腺功能亢进的一种罕见病因。由于它们在大体上可能更类似于脂肪瘤而非甲状旁腺腺瘤，外科医生和外科病理学家都可能会漏诊这些肿瘤。在这个病例中，由于肿瘤的脂肪含量导致冰冻切片在技术上难以进行，因此在手术过程中通过触摸涂片做出了诊断。对多个切片的检查发现了甲状旁腺细胞的肿瘤性增殖，从而支持了该病变代表腺瘤而非错构瘤这一观点。
