Brown tumour of the maxilla and mandible: a rare complication of tertiary hyperparathyroidism

Hyperparathyroidism is nowadays diagnosed early and asymptomatically with the improvements in routine biochemical tests and radiological procedures. The late bony complications of the disease have therefore started to decline rapidly. Brown tumours are one of the bony complications of hyperparathyro...

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Bibliographic Details
Published in:Dento-maxillo-facial radiology 2009-01, Vol.38 (1), p.53-58
Main Authors: Selvi, F, Cakarer, S, Tanakol, R, Guler, S D, Keskin, C
Format: Article
Language:English
Subjects:
Dentistry
Diagnosis, Differential
Humans
Hyperparathyroidism, Secondary - complications
Hyperparathyroidism, Secondary - etiology
Kidney Failure, Chronic - complications
Male
Mandibular Diseases - diagnostic imaging
Mandibular Diseases - etiology
Maxillary Diseases - diagnostic imaging
Maxillary Diseases - etiology
Osteitis Fibrosa Cystica - diagnostic imaging
Osteitis Fibrosa Cystica - etiology
Parathyroid Glands - diagnostic imaging
Radiography, Panoramic
Radionuclide Imaging
Radiopharmaceuticals
Technetium Tc 99m Sestamibi
Tomography, X-Ray Computed
Ultrasonography
Young Adult
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Summary:Hyperparathyroidism is nowadays diagnosed early and asymptomatically with the improvements in routine biochemical tests and radiological procedures. The late bony complications of the disease have therefore started to decline rapidly. Brown tumours are one of the bony complications of hyperparathyroidism. The mandible is the predominantly affected site in the maxillofacial area. Maxillary involvement is rare. Here, an extremely rare case of a 19-year-old male patient with brown tumours in his maxilla and mandible associated with tertiary hyperparathyroidism is presented. A thorough diagnostic work-up was carried out and treatment options for both hyperparathyroidism and brown tumours were discussed. The importance of different radiological evaluation methods and the consultation between the oral and maxillofacial surgeons, general practitioner dentists, endocrinologists and radiologists are emphasised.
ISSN:0250-832X
1476-542X
DOI:10.1259/dmfr/81694583