Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2019; 7(19): 3132-3137
Published online Oct 6, 2019. doi: 10.12998/wjcc.v7.i19.3132
Primary hyperparathyroidism in a woman with multiple tumors: A case report
Can-Can Hui, Xue Zhang, Jian-Ran Sun, Da-Tong Deng
Can-Can Hui, Xue Zhang, Da-Tong Deng, Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Jian-Ran Sun, Department of Endocrinology, The First Affiliated Hospital of USTC Anhui Provincial Hospital, Hefei 230001, Anhui Province, China
Author contributions: Deng DT designed the report; Hui CC and Zhang X collected the data; Hui CC, Zhang X, and Sun JR wrote the paper; All authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Da-Tong Deng, PhD, Associate Professor, Chief Physician, Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei 230022, Anhui Province, China. dengdayong@ahmu.edu.cn
Telephone: +86-551-62922069 Fax: +86-551-62922160
Received: March 25, 2019
Peer-review started: March 26, 2019
First decision: May 31, 2019
Revised: June 25, 2019
Accepted: July 3, 2019
Article in press: July 3, 2019
Published online: October 6, 2019
Abstract
BACKGROUND

Parathyroid adenoma (PTA) is known as an adenomatous hyperparathyroidism syndrome. At earlier times, the major symptoms of this disease included high blood calcium and low phosphorus. PTA is a benign neuroendocrine neoplasm. We have reviewed the literature and found that it is rare for patients with hyperparathyroidism to have benign tumors with multiple organs at the same time. This report describes a patient with a PTA and four nonfunctional adenomas.

CASE SUMMARY

We report a case of primary hyperparathyroidism in a 39-year-old woman with multiple organ tumors. The patient was admitted to hospital because of hypercalcemia. Laboratory, imaging, and histological examinations confirmed a left parathyroid neoplasm. Right thyroid adenoma was discovered during hospitalization. She had a medical history of uterine fibroids, right benign mammary gland tumor, and meningioma. The patient recovered after surgical and conservative treatments.

CONCLUSION

Primary hyperparathyroidism with multiple organ tumors is uncommon, and further studies should be conducted to determine if there is genetic heterogeneity.

Keywords: Primary hyperparathyroidism, Parathyroid neoplasm, Thyroid adenoma, Meningioma, Breast neoplasm, Case report

Core tip: Simultaneous occurrence of multiple tumors is rare. This article reports a patient who was admitted to hospital with hypercalcemia and finally diagnosed with a parathyroid adenoma via surgical pathology. The patient also had uterine fibroids, benign mammary gland tumor, and meningioma. After diagnosis, these tumors were all removed.