title: Combined parathyroid adenoma and an occult papillary carcinoma.
abstract: Although the pathological association of thyroid and parathyroid disease is common, the association of both parathyroid adenoma and thyroid cancer is rare. We report here a case of a 45-year-old Saudi woman who was diagnosed to have primary hyperparathyroidism due to a single parathyroid adenoma as confirmed biochemically and radiologically. At operation, the adenoma was found to be an intrathyroid and therefore a thyroid lobectomy was performed. Histology of the excised lobe revealed in addition to the intrathyroid parathyroid adenoma a concurrent occult thyroid papillary carcinoma. This interesting association is discussed based on a literature review.
authors.affiliation: Department of Surgery, Dammam Central Hospital, Dammam, Kingdom of Saudi Arabia. meshikhes@doctor.com
authors.forename: Abdul-Wahed N
authors.initials: AW
authors.lastname: Meshikhes
authors.forename: Sohail A
authors.initials: SA
authors.lastname: Butt
authors.forename: Mohammed S
authors.initials: MS
authors.lastname: Butt
authors.forename: Basima A
authors.initials: BA
authors.lastname: Al-Saihati
mesh_terms: D002291:Carcinoma, Papillary / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D033162:Incidental Findings; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010280:Parathyroid Glands / Q000473:pathology; D010282:Parathyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016105:Parathyroidectomy; D012529:Saudi Arabia; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013965:Thyroidectomy