原发性甲状旁腺功能亢进的下颌骨棕色瘤一份病例报告。

The New Zealand dental journal Pub Date : 2015-09-01
J Olsen, C Sealey
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引用次数: 0

摘要

我们提出一个罕见的诊断在34岁的女性与不愈合拔牙窝。切口活检显示多核巨细胞提示中央巨细胞肉芽肿。计算机断层扫描(CT)报告偶然发现甲状旁腺肿块。检查甲状旁腺激素(PTH)水平,发现异常高。诊断为下颌骨棕色肿瘤。病人被转介到头颈部外科医生那里,并切除了甲状旁腺肿块。下颌病变是保守管理和继续退化后,甲状旁腺激素水平正常化。在这个病例中,CT扫描包含甲状旁腺区域是偶然的。有一系列的病理包含多核巨细胞可以从颌面部区域产生;然而,在所有这类颌骨病变中,都应检查甲状旁腺激素水平。这使得临床医生可以从诊断筛中排除棕色肿瘤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brown tumour of the mandible in primary hyperparathyroidism; a case report.

We present an uncommon diagnosis in a 34-year-old female with a non-healing extraction socket. Incisional biopsy revealed multi-nucleated giant cells suggestive of central giant cell granuloma (CGCG). The computed tomography (CT) report made incidental note of a parathyroid mass. The parathyroid hormone (PTH) level was checked and found to be abnormally high. A diagnosis of brown tumour of the mandible was made. The patient was referred to a head and neck surgeon and the parathyroid mass was removed. The mandibular lesion was managed conservatively and continues to regress post-normalisation of PTH levels. The inclusion of the parathyroid region on the CT scan in this case was fortuitous. There are a range of pathologies containing multinucleated giant cells that can arise from the maxillofacial region; PTH level should, nevertheless, be checked in all such jaw lesions. This allows the clinician to exclude brown tumour from the diagnostic sieve.

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