Parathyroid glands: the normal development, anatomy and histological structure

Abstract

Parathyroid glands (PG) are endocrine glands, which are the most important humoral regulators of calcium and phosphorus metabolism in the body. They were first described by an Englishman Richard Owen in 1849. Most of patients have four PG – upper and lower. In 13% of cases there are more than four PG. The glands arise as diverticula from the endoderm of the third and fourth branchial pouches between the fifth and twelfth week of gestation. The IV branchial pouch forms the upper gland, and III pouch forms the inferior gland.
 The parathyroid hormone production has been demonstrated as early as 83/7 weeks gestational age. The formation, migration, differentiation and functioning of the PGs are determined by a number of genes and changes in them could lead to disfunction in these processes. The ectopic of PG is possible when migration violation (up to 22% of cases). The most common location of the ectopic PG is parenchyma of the thymus and thyroid gland. Each PG is richly vascularized and it is surrounded by a thin connective tissue. In adults, there are two types of parenchymal cells: the chief cells (active and inactive forms) and the oxyphil cells. During the life, the ratio of types of parenchymal cells and their activity have been changing, as well as the characteristics of the stroma.

Silent intrathyroid parathyroid carcinoma

“…According to the literature, ectopic glands can occur in up to 22% of cases. One of the most common ectopic locations of the parathyroid glands (PTGs) is thyroid tissue (33.0%) ( 3 ) because of closely related embryogenesis of the PTGs and thyroid glands. Preoperative diagnosis of PC, especially in the case of intrathyroidal location, entails a number of diagnostic difficulties.…”