Osteitis Fibrosa Cystica Mistaken for Malignant Disease
Clinical and Experimental Otorhinolaryngology
;
: 110-113, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-97213
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteíte
/
Osteíte Fibrosa Cística
/
Hormônio Paratireóideo
/
Glândulas Paratireoides
/
Pelve
/
Medula Espinal
/
Coluna Vertebral
/
Biópsia
/
Imageamento por Ressonância Magnética
/
Cálcio
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Clinical and Experimental Otorhinolaryngology
Ano de publicação:
2013
Tipo de documento:
Artigo
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