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Spec Care Dentist ; 38(3): 163-171, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29603323

RESUMO

Brown tumor of the jaws is a manifestation of hyperparathyroidism consisting of osteolytic lesions that show proliferation of multinucleated giant cells in the maxilla and/or mandible. Differential diagnosis of these lesions from local central giant-cell granuloma is mandatory for the correct treatment of the patient. Radiographic and histopathological exams of the jaw lesion are not sufficient to determine the diagnosis, which requires laboratory tests including serum levels of calcium, alkaline phosphatase, parathyroid hormone (PTH) and phosphate, and radiographic examination of other bones as well, such as hand-wrist, pelvis, and femur. We present here a brief literature review focusing on the clinical and radiographic features, diagnostic criteria and treatment of brown tumor and also report a case of the disease affecting the jaw.


Assuntos
Hiperparatireoidismo/diagnóstico , Doenças Mandibulares/diagnóstico , Osteíte Fibrosa Cística/diagnóstico , Corticosteroides/uso terapêutico , Adulto , Biópsia , Diagnóstico Diferencial , Humanos , Imageamento Tridimensional , Transplante de Rim , Masculino , Doenças Mandibulares/diagnóstico por imagem , Doenças Mandibulares/patologia , Osteíte Fibrosa Cística/tratamento farmacológico , Osteíte Fibrosa Cística/patologia , Tomografia Computadorizada por Raios X
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