{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T06:07:31Z","timestamp":1764050851678,"version":"3.45.0"},"reference-count":10,"publisher":"Journal of the ASEAN Federation of Endocrine Societies (JAFES)","issue":"2","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J ASEAN Fed Endocr Soc"],"abstract":"<jats:p>The majority of parathyroid adenomas can be localized preoperatively using various imaging techniques. The success rate of focused parathyroidectomy exceeds 95% when performed by an experienced surgeon. Here, we report an apparent failure of focused right inferior parathyroidectomy performed for a preoperatively detected parathyroid adenoma. This misinterpretation arose due to macrofollicular growth pattern of the resected parathyroid adenoma, which mimicked thyroid tissue. The patient subsequently underwent re-exploration, including intraoperative ultrasound, which revealed that the culprit gland had, in fact, been successfully removed during the initial surgery. This finding was also supported by a significant decrease in the intraoperative parathyroid hormone level, as compared to the pre-operative level. This case highlights the rare macrofollicular histology of parathyroid adenoma and underscores the importance of a multidisciplinary team in successfully treating the condition.<\/jats:p>","DOI":"10.15605\/jafes.040.02.21","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T05:58:58Z","timestamp":1764050338000},"page":"182-185","source":"Crossref","is-referenced-by-count":0,"title":["Parathyroid Adenoma with Macrofollicular Growth Pattern"],"prefix":"10.15605","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9097-0343","authenticated-orcid":false,"given":"Ramita","family":"Mukherjee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9183-2317","authenticated-orcid":false,"given":"Brijesh Kumar","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0708-9346","authenticated-orcid":false,"given":"Anubhav","family":"Narwal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1214-0014","authenticated-orcid":false,"given":"Asuri","family":"Krishna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8615-4937","authenticated-orcid":false,"given":"Devasenathipathy","family":"Kandasamy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Sushant Soren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5631-0671","authenticated-orcid":false,"given":"V","family":"Seenu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6244","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"79267","doi-asserted-by":"crossref","unstructured":"1. Walker MD, Silverberg SJ. Primary hyperparathyroidism. Nat Rev Endocrinol. 2018;14(2):115-25. https:\/\/pubmed.ncbi.nlm.nih.gov\/28885621 https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6037987 https:\/\/doi.org\/10.1038\/nrendo.2017.104","DOI":"10.1038\/nrendo.2017.104"},{"key":"79269","doi-asserted-by":"crossref","unstructured":"2. Absher KJ, Truong LD, Khurana KK, Ramzy I. Parathyroid cytology: Avoiding diagnostic pitfalls. Head Neck. 2002;24(2):157-64. https:\/\/pubmed.ncbi.nlm.nih.gov\/11891946 https:\/\/doi.org\/10.1002\/hed.10003","DOI":"10.1002\/hed.10003"},{"key":"79271","doi-asserted-by":"crossref","unstructured":"3. Ha HJ, Kim EJ, Kim JS, et al. Major clues and pitfalls in the differential diagnosis of parathyroid and thyroid lesions using fine needle aspiration cytology. Medicina (Kaunas). 2020;56(11):558. https:\/\/pubmed.ncbi.nlm.nih.gov\/33114338 https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7690923 https:\/\/doi.org\/10.3390\/medicina56110558","DOI":"10.3390\/medicina56110558"},{"key":"79273","doi-asserted-by":"crossref","unstructured":"4. Dimashkieh H, Krishnamurthy S. Ultrasound guided fine needle aspiration biopsy of parathyroid gland and lesions. Cytojournal. 2006;3:6. https:\/\/pubmed.ncbi.nlm.nih.gov\/16569241 https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC1435923 https:\/\/doi.org\/10.1186\/1742-6413-3-6","DOI":"10.1186\/1742-6413-3-6"},{"key":"79275","doi-asserted-by":"crossref","unstructured":"5. Kumari N, Mishra D, Pradhan R, Agarwal A, Krishnani N. Utility of fine-needle aspiration cytology in the identification of parathyroid lesions. J Cytol. 2016;33(1):17-21. https:\/\/pubmed.ncbi.nlm.nih.gov\/27011436 https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4782397 https:\/\/doi.org\/10.4103\/0970-9371.175490","DOI":"10.4103\/0970-9371.175490"},{"key":"79277","doi-asserted-by":"crossref","unstructured":"6. Basolo F, Macerola E, Poma AM, Torregrossa L. The 5th edition of WHO classification of tumors of endocrine organs: Changes in the diagnosis of follicular-derived thyroid carcinoma. Endocrine. 2023;80(3):470-6. https:\/\/pubmed.ncbi.nlm.nih.gov\/36964880 https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10199828 https:\/\/doi.org\/10.1007\/s12020-023-03336-4","DOI":"10.1007\/s12020-023-03336-4"},{"key":"79279","doi-asserted-by":"crossref","unstructured":"7. Baku\u0142a-Zalewska E, D\u0142ugosi\u0144ska J, Stanek-Widera A, et al. Fine needle aspiration biopsy of parathyroid; is it meaningful? A cytologic study of 81 cases with histological and clinical correlations. Cytopathology. 2024;35(3):362-70. https:\/\/pubmed.ncbi.nlm.nih.gov\/38213192 https:\/\/doi.org\/10.1111\/cyt.13356","DOI":"10.1111\/cyt.13356"},{"key":"79281","unstructured":"8. Ho KJ. Papillary parathyroid adenoma. A rare occurrence and its importance in differentiation from papillary carcinoma of the thyroid. Arch Pathol Lab Med. 1996;120(9):883-4. https:\/\/pubmed.ncbi.nlm.nih.gov\/9140297."},{"key":"79283","unstructured":"9. Friedman M, Shimaoka K, Lopez CA, Shedd DP. Parathyroid adenoma diagnosed as papillary carcinoma of thyroid on needle aspiration smears. Acta Cytol. 1983;27(3):337-40. https:\/\/pubmed.ncbi.nlm.nih.gov\/6575552."},{"key":"79285","doi-asserted-by":"crossref","unstructured":"10. Peterson CJ, Klasen JM, Bubendorf L, Freitag M, Delko T, Lazaridis II. Parathyroid adenoma mimicking Bethesda class III follicular thyroidal lesion: A case report. International Journal of Surgery Open. 2023;57:100612. https:\/\/www.semanticscholar.org\/paper\/Parathyroid-Adenoma-Mimicking-Bethesda-Class-III-a-Peterson-Klasen\/2ad7b52924a2683614dbebacc20959268b1cc504","DOI":"10.1016\/j.ijso.2023.100612"}],"container-title":["Journal of the ASEAN Federation of Endocrine Societies"],"original-title":[],"link":[{"URL":"https:\/\/asean-endocrinejournal.org\/index.php\/JAFES\/article\/download\/5001\/5297","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asean-endocrinejournal.org\/index.php\/JAFES\/article\/download\/5001\/5297","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T05:59:00Z","timestamp":1764050340000},"score":1,"resource":{"primary":{"URL":"https:\/\/asean-endocrinejournal.org\/index.php\/JAFES\/article\/view\/5001"}},"subtitle":["A Rare Histopathological Entity"],"short-title":[],"issued":{"date-parts":[[2025,11,12]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,11,21]]}},"URL":"https:\/\/doi.org\/10.15605\/jafes.040.02.21","relation":{},"ISSN":["2308-118X","0857-1074"],"issn-type":[{"value":"2308-118X","type":"electronic"},{"value":"0857-1074","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,12]]}}}