Highly aggressive brown tumour of the maxilla as first manifestation of primary hyperparathyroidism

被引:34
作者
Martínez-Gavidia, EM
Bagán, JV
Milián-Masanet, MA
de Miguel, EL
Pérez-Vallés, A
机构
[1] Univ Valencia, Gen Hosp, Serv Estomatol, Valencia 46014, Spain
[2] Univ Valencia, Gen Hosp, Serv Pathol, Valencia 46014, Spain
关键词
brown tumour; hyperparathyroidism; giant cell tumour; oral cavity;
D O I
10.1016/S0901-5027(00)80079-X
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
A case is presented of a 62-year-old man with a right maxillary swelling for the previous three months. The lesion was expansive and osteolytic, with invasion of the adjacent maxillary sinus, nasal and pterygomaxillary fossae and floor of the orbit. Histology revealed the presence of an intrabony giant cell lesion. Blood tests demonstrated elevations in calcium (16.2 mg/dl) and parathyroid hormone (PTH) concentrations (841 pg/ml), This suggested the diagnosis of hyperparathyroidism initially manifesting as a brown tumour of the maxilla. Posterior explorations confirmed the existence of an underlying ectopic parathyroid adenoma as the cause of the condition.
引用
收藏
页码:447 / 449
页数:3
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