Osteitis Fibrosa Cystica Mistaken for Malignant Disease
Clinical and Experimental Otorhinolaryngology
; : 110-113, 2013.
Article
en En
| WPRIM
| ID: wpr-97213
Biblioteca responsable:
WPRO
ABSTRACT
A 65-year-old man with back pain had plain radiographs that showed multiple osteolytic bone lesions of the pelvis, femur and L-spine; an magnetic resonance imaging scan of the L-spine showed extensive bony resorption with a posterior epidural mass involving the L1 spinous process; these findings suggested multiple myeloma or bony metastasis. However, all serology testing was negative. The parathyroid hormone and serum calcium levels were found to be abnormally elevated. A fine needle aspiration biopsy suggested that the L-spine lesion was consistent with the diagnosis of osteitis fibrosa cystica. A pathological fracture of the spine compressed the spinal cord, and surgical intervention was required. The neck computed tomography and Tc-99m sestamibi scan showed a solitary parathyroid mass. A minimally invasive parathyroidectomy using intraoperative parathyroid hormone monitoring was performed and two enlarged parathyroid glands identified. This case illustrates the importance of the consideration of a rare brown tumor associated with primary hyperparathyroidism in patients with the bone lesions suggestive of a malignancy.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Osteítis
/
Osteítis Fibrosa Quística
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Hormona Paratiroidea
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Glándulas Paratiroides
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Pelvis
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Médula Espinal
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Columna Vertebral
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Biopsia
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Imagen por Resonancia Magnética
/
Calcio
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Clinical and Experimental Otorhinolaryngology
Año:
2013
Tipo del documento:
Article