Vendrell Marqués J B, Artazkoz del Toro J J, Faubel Serra M, Campos Dana J J, Piñón Selles F
Servicio de O.R.L. del Hospital Dr. Peset, Valencia.
An Otorrinolaringol Ibero Am. 1991;18(3):301-8.
The paper reports the case of a maxillary brown tumor as early sign of primary hyperparathyroidism. Brown tumors are very unusual growths in daily ENT practice and an odd start of primary hyperparathyroidism. The AA. emphasize the importance of a correct differential diagnosis, especially with those tumors showing multinucleated giant cells (osteoclast type)--such as true giant cells tumor and central giant granuloma--prior to its management. They also comment on the interesting contribution to diagnosis by imagery brought by CT scan, magnetic resonance (MR), ultrasonography (echography) and digital subtraction gammagraphy to attain the topographic site of the parathyroid tumor.
该论文报告了一例上颌骨棕色瘤作为原发性甲状旁腺功能亢进早期体征的病例。棕色瘤在日常耳鼻喉科实践中是非常罕见的病变，也是原发性甲状旁腺功能亢进的一种奇特起始表现。作者强调在处理之前进行正确鉴别诊断的重要性，尤其是与那些显示多核巨细胞（破骨细胞型）的肿瘤，如真性巨细胞瘤和中央巨细胞肉芽肿进行鉴别。他们还评论了计算机断层扫描（CT）、磁共振成像（MR）、超声检查和数字减影γ照相术在确定甲状旁腺肿瘤的部位方面对诊断所做出的有趣贡献。
