Parathyroid adenoma combined with a rib tumor as the primary disease: A case report

Figure 1 Chest X-ray and computed tomography before surgery.

Figure 2 Ultrasound image of the thyroid.

Figure 3 Chest X-ray after surgery.

Figure 4 Pathological results of the rib tumor. A solid section of the cut surface, bleeding and bloody fluid are seen in the cyst cavity, fibrous tissue hyperplasia around the cystic cavity, reactive hyperplasia of bone-like tissue and trabecular bone in the deep cystic cavity, solid part of the area containing hemosiderin deposition, and multinucleated giant cell reaction.

Figure 5 Pathological results of the parathyroid adenoma. Left lower parathyroid gland combined with HE morphology and immunohistochemistry results diagnosis: parathyroid adenoma. Immunohistochemical results: CgA part (+), PTH (+), Ki67 (marker of proliferation Ki-67) approximately 1% (+), TG (-), and TTF-1 (thyroid transcription factor 1) (-).