Auto text: “Insert Parathyroid Frozen” or “Insert Parathyroid Routine”
Triage & Gross
- Parathyroids often come for intraoperative consultation in order to identify parathyroid tissue or to verify a lesional gland.
- WEIGH ALL parathyroids to three significant digits (ie 234 mg or 0.234 g), even small fragments that come for frozen.
- Average parathyroid glands weigh 20-40 mg. Increase in weight may indicate a lesional / hyperfunctional gland.
- Measure in 3 dimensions.
- If for FROZEN, see dedicated Parathyroid Frozen Page.
- Parathyroid carcinomas are RARE: If the parathyroid gland is especially large, heavy, or the surgeon noted adhesion to surrounding tissue – parathyroid carcinoma is in the differential diagnosis. In these cases, ink the outer surface before sectioning. Serially section and photograph representative section(s).
- Describe outer and cut surfaces.
- If not already done: Serially section. Or Bisect if small.
- If the parathyroid is small (< 2 g), submit entirely.
- If the parathyroid is large (> 2 g) without worrisome features, submit multiple representative cassettes, 1-2 per cm.
- If the parathyroid has worrisome features (very large, heavy, adherent, as mentioned above) submit entirely after inking the outer surface.