Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2020; 8(21): 5426-5431
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5426
Synchronous parathyroid adenoma, papillary thyroid carcinoma and thyroid adenoma in pregnancy: A case report
Qiang Li, Xiao-Zhang Xu, Jian-Hua Shi
Qiang Li, Xiao-Zhang Xu, Jian-Hua Shi, Department of Breast and Thyroid Surgery, The Affiliated Huaian No. 1 People’s Hospital of Nanjing Medical University, Huai'an 223300, Jiangsu Province, China
Author contributions: Li Q examined the patient and collected clinical data; Shi JH and Li Q performed the surgical resection and follow-up; Li Q and Xu XZ wrote the paper; Xu XZ collected pathological images; Shi JH and Li Q edited the manuscript and provided final approval.
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 NonCommercial (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: Jian-Hua Shi, MD, Associate Professor, Chief Doctor, Surgeon, Department of Breast and Thyroid Surgery, the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University, No. 1 Huanghe Road West, Huai'an 223300, Jiangsu Province, China. jianhuashi@163.com
Received: April 15, 2020
Peer-review started: April 15, 2020
First decision: April 24, 2020
Revised: September 8, 2020
Accepted: September 16, 2020
Article in press: September 16, 2020
Published online: November 6, 2020
Processing time: 204 Days and 17 Hours
Core Tip

Core Tip: Primary hyperparathyroidism (PHPT) with parathyroid adenoma associated with papillary cancer and adenoma of the thyroid is unusual. The preliminary test results showed severe hypercalcemia. The level of parathyroid hormone found in further laboratory tests was elevated and a diagnosis of PHPT was determined. Right lower parathyroid gland and total thyroidectomy were performed. This clinical case illustrates the need for awareness of concomitant PHPT and thyroid diseases.