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Thyroid lesions have actually cytomorphological similarities and may even masquerade parathyroid neoplasms. Regular thyroid testing in post- transplant patients, meticulous pathological examination and parathormone assay are necessary in the early diagnosis, management and avoidance of morbidity and mortality in these clients. Keywords Fine needle aspiration, renal transplant, Hurthle cell neoplasm, parathyroid adenoma, micropapillary carcinoma.A 5-year old man given an image of in
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