Primary Hyperparathyroidism Revealed by a Brown Tumor of the Maxilla: A Case Report
Journal Title: Journal of Health and Medical Sciences - Year 2019, Vol 2, Issue 4
Abstract
Introduction: Brown tumors are osteolytic lesions that rarely reveal hyperparathyroidism. They usually occur at the terminal stage of primary or secondary hyperparathyroidism. We report the case of a patient with primary hyperparathyroidism revealed by a jaw’s tumor, at the ENT and Maxillo-facial department of Mohamed VI University Hospital, Oujda, Morocco. Case report: A medical examination of A 48-year-old woman with a left nasal obstruction associated to an ipsilateral tumefaction progressively increasing in size. The CT scan showed an aggressive osteolytic process of the maxillary sinus. The diagnosis of the brown tumor was suspected on a biological assessment highlighting an hypercalcemia. Etiological research has revealed a parathyroid adenoma. The parathyroid hormone test: 322 pmol / L confirmed the diagnosis. The surgery consisted of a conservative lumpectomy with left parathyroidectomy. The anatomopathological result showed a benign giant cell tumor of the maxillary sinus. Conclusion: We recall through this observation, and view to the insidious side of brown tumors, two essential points: the difficulty of establishing the diagnosis of osteolytic processes of the maxillary sinus and the need to think about an hyperparathyroidism in front of a giant cell lesion.
Authors and Affiliations
Eabdenbitsen Adil Adil, Mouzouri Mohamed, El Amrani Yasmine, El Ayoubi Fahd, Ghailan Mohammed Rachid, Oulali Noureddine, Bouziane Mohammed, Daoudi Abdelkrim
Keywords
Related Articles
- EP ID EP657819
- DOI 10.31014/aior.1994.02.04.68
- Views 38
- Downloads 0
Do all Inguinal Hernias Need Surgery?
Background: For hernias that aren’t painful, choosing watchful waiting instead of immediate surgery isn’t tied to any long-term health problems. Many patients who took a wait-and-see approach with the groin bulges ended...
No Clear Link with Diet and AMI: A Case - Control Study of Risk Factors of Acute Myocardial Infarction Patients in Trinidad
Objectives: Dietary risk factors are considered a major determinant of coronary artery disease. However, dietary components resulting in IHD have been mixed and inconsistent. The aim of this study was to determine tradit...
On the Existence of Fundamental Theorems of Medical Diagnosis and Practice
In this article, the authors discuss their previous treatment of the fundamental theorems of medical diagnosis and practice to a wider class of situations in which Koch postulates and Fredericks & Relman extended version...
Prevalence of Human Immunodeficiency Virus Infection Among Pregnant Women: Are We Winning the War?
The Human Immunodeficiency Virus (HIV) prevalence in prenatal clinic indicates that the gap in HIV prevalence between sub-regions of Africa is not reducing but widening. No evidence suggests that pregnancy accelerate the...
A Giant Epidermoid Splenic Cyst in a Teenage: A Case Report
Introduction: Splenic cysts are rare and are either primary or secondary. Epidermoid splenic cysts are an example of primary congenital cysts. Most often, they are asymptomatic discovered incidentally, but they may prese...