Multiple brown tumors in primary hyperparathyroidism

Radiology Case Reports

article

Chirihan Ayadi¹  Safae Lanjery¹  Hajar Andour¹  Farah Kamel¹  Hamza El Qandili¹  Mendes Papys¹  Laila Jroundi¹  Fatima Zahra Laamrani¹ 

[1] Department of Radiology, CHU Ibn Sina, Mohamed V University

关键词: Brown tumor;    Primary hyperparathyroidism;    Adenoma;    Bone lesion;   

DOI  :  10.1016/j.radcr.2022.07.110

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Brown tumors are benign bone tumors that rarely complicate hyperparathyroidism , manifesting as fibrous and erosive lesions secondary to rapid and localized osteoclast turnover. These lesions are typical of primary hyperparathyroidism , but they are not often observed. We present the case of a 72-year-old woman presenting with asthenia , bone pain, and hemiplegia . Biological analysis showed primary hyperparathyroidism, cervical ultrasound a right parathyroid adenoma that fixed on scintigraphy . When cross-sectional imaging was performed, it revealed multiple bone tumors of the axial and peripheral trunk with spinal cord compression which were diagnosed as brown tumors related to parathyroid adenoma. We illustrate through this case the importance of multidisciplinary imaging techniques before raising the diagnosis, especially in unusual pathologies such as brown tumors.

【 授权许可】

CC BY|CC BY-NC-ND