Altan Lale, Kurtoğlu Zübeyde, Yalçinkaya Ulviye, Aydinli Ufuk, Ertürk Erdinç
Department of Physical Therapy and Rehabilitation, Rheumatic Disease and Hydrotherapy Section, Uludağ University Medical Faculty, Atatürk Rehabilitation Center, Kükürtlü cad. No. 98, 16080, Cekirge, Bursa, Turkey.
Rheumatol Int. 2007 Nov;28(1):77-81. doi: 10.1007/s00296-007-0380-z. Epub 2007 Jun 14.
We present a case of a 44-year-old woman with an unusual location of a brown tumor in the sacral vertebrae due to parathyroid adenoma. She was admitted to our clinic with the complaint of low-back pain and was later diagnosed to have a brown tumor. The patient underwent surgery and partial sacrectomy and iliac wing resection was performed in Orthopedic Surgery Department. Subsequently the patient underwent parathyroid adenoma excision in General Surgery Department. On her control examination at postoperative 3 months, she had no pain and was able to perform daily activities without any problem. We believe it is an interesting clinical case both because it shows a very rare localization of brown tumor and points out the importance of employing a wide clinical scope in the differential diagnosis of back pain.
我们报告一例44岁女性，因甲状旁腺腺瘤导致骶椎出现罕见部位的棕色瘤。她因腰痛主诉入院，后来被诊断患有棕色瘤。患者接受了手术，骨科进行了部分骶骨切除术和髂骨翼切除术。随后患者在普通外科进行了甲状旁腺腺瘤切除术。术后3个月复查时，她无疼痛，能够毫无问题地进行日常活动。我们认为这是一个有趣的临床病例，因为它显示了棕色瘤非常罕见的定位，并指出了在背痛鉴别诊断中采用广泛临床视野的重要性。
