Multiple brown tumors as a result of hyperparathyroidism in chronic renal disease: a case report
Moncef Sellami, Yosr Chaabouni
The Pan African Medical Journal. 2017;26:144. doi:10.11604/pamj.2017.26.144.12026

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Multiple brown tumors as a result of hyperparathyroidism in chronic renal disease: a case report

Cite this: The Pan African Medical Journal. 2017;26:144. doi:10.11604/pamj.2017.26.144.12026

Received: 17/02/2017 - Accepted: 07/03/2017 - Published: 14/03/2017

Key words: Brown tumor, chronic renal disease, hyperparathyroidism

© Moncef Sellami et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/26/144/full

Corresponding author: Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba University Hospital, Sfax, Tunisia| Sfax Medical School,University of Sfax, Sfax, Tunisia (sellami_moncef@yahoo.fr)


Multiple brown tumors as a result of hyperparathyroidism in chronic renal disease: a case report

Moncef Sellami 1,2,&, Yosr Chaabouni 2,3

 

1Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba University Hospital, Sfax, Tunisia, 2Sfax Medical School,University of Sfax, Sfax, Tunisia, 3Department of Nephrology, Research Unit UR12ES14. Hedi Chaker University Hospital, Sfax, Tunis

 

 

&Corresponding author
Moncef Sellami, Department of Otorhinolaryngology-Head and Neck Surgery Habib Bourguiba University Hospital, Sfax, Tunisia| Sfax Medical School,University of Sfax, Sfax, Tunisia

 

 

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The brown tumor or Osteitis fibrosa cystica is a benign bone lesion that caused by hyperparathyroidism.This complication has been decreased by diagnosis and successful treatment of hyperparathyroidism. The brown tumor of hyperparathyroidism results from a metabolic disorder that affects long bones, ribs, and pelvis. The maxillary involvement is rare. Parathyroidectomy is a good choice for patients with high parathyroid hormone (PTH) levels and diffuse brown Tumor leading to a gradual decrease in the maxillary tumors. We report the case of a 50-year-old woman with Chronic renal failure presented with a one-year history of slowly enlarging mass of the left cheek after 17 years of maintenance hemodialysis. The physical examination revealed a mass of the left jaw and the infraorbital region associated with a left exophthalmia. The mass was soft in consistency and tender on palpation. Her serum PTH Concentration was 4830 pg/ml and her calcemia was normal. The computed tomography (CT) of the facial skeleton showed multiple osteolytic lesions of the maxillary sinuses and mandibular bone suggestive of brown tumors. The expansive lesion of the left maxillary bone had an extensive involvement of the left maxilla and the maxillary sinus. The patient underwent a subtotal parathyroidectomy. The PTH concentration 1 hour after the surgery confirmed a level within the normal range. At 12-month follow-up, there was an improvement of the exophthalmia and partial regression of the tumors.

 

 

Figure 1: (A) swelling in the left cheek and the infraorbital region; (B ) axial CT scan image shows a destructive lesion of the left maxillary sinus associated to a lesion of the posterior wall of the right maxillary sinus (arrow); (C) coronal CT scan image shows an extensive involvement of the left maxilla and maxillary sinus associated to mandibular tumors (arrow)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved