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Thyroid lesions have actually cytomorphological similarities and may also masquerade parathyroid neoplasms. Regular thyroid testing in post- transplant clients, meticulous pathological assessment and parathormone assay are crucial during the early analysis, administration and avoidance of morbidity and death during these clients. Key words Fine needle aspiration, kidney transplant, Hurthle cellular neoplasm, parathyroid adenoma, micropapillary carcinoma.A 5-year old man offered a