因原发性甲状旁腺功能亢进症导致的棕色瘤引起的脊髓压迫症为首发表现。
Spinal Cοrd Compression Secondary to Brοwn Tumοr as First Manifestation of Primary Hyperparathyroidism.
机构信息
Department of Rheumatology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco.
Department of Rheumatology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco.
出版信息
World Neurosurg. 2020 May;137:384-388. doi: 10.1016/j.wneu.2020.02.076. Epub 2020 Feb 24.
BACKGROUND
Brown tumors (BTs) represent the typical nonmalignant lesions of hyperparathyroidism. Mandibles, ribs, and large bones are the most usual localization of BT. The diagnosis of these tumors requires biological and radiologic assessments. Their treatment is essentially based on parathyroidectomy.
CASE DESCRIPTION
The present case report describes a patient with primary hyperparathyroidism who developed a cervical BT revealed by slow spinal compression.
CONCLUSIONS
The brown tumor, when localized at the level of the spine, can be life-threatening and must be managed as soon as possible.
背景
棕色瘤（BTs）是甲状旁腺功能亢进症的典型非恶性病变。下颌骨、肋骨和长骨是 BT 最常见的部位。这些肿瘤的诊断需要进行生物学和影像学评估。其治疗主要基于甲状旁腺切除术。
病例描述
本病例报告描述了一例原发性甲状旁腺功能亢进症患者，该患者因慢性脊柱压迫而出现颈椎 BT。
结论
棕色瘤位于脊柱水平时可能危及生命，必须尽快处理。
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