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一名血液透析患者因继发性甲状旁腺功能亢进导致的上颌骨棕色瘤:病例报告及文献综述

Maxillary brown tumor due to secondary hyperparathyroidism in a Hemodialysis patient: A case report and literature review.

作者信息

Aravindhan R, Magesh K T, Vivek N, Saravanan C

机构信息

Department of Oral Pathology and Microbiology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chengalpattu, Tamil Nadu, India.

Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chengalpattu, Tamil Nadu, India.

出版信息

J Oral Maxillofac Pathol. 2021 Sep-Dec;25(3):527-532. doi: 10.4103/jomfp.jomfp_157_21. Epub 2022 Jan 11.

Abstract

Hemodialysis is one of the commonly used renal replacement therapies in treating end-stage renal failure patients. Patients with long-term dialysis may develop frequently complications such as secondary hyperparathyroidism (SHPT), bone diseases, amyloidosis, endocrinal disturbances, cardiovascular complications and infections. Brown tumors (BTs) are erosive giant cell bony lesions that arise in some patients as a result of primary or SHPT. About 2% of all the reported cases showed involvement of facial skeleton, of which the mandible is the favorite site. A complete clinical, biochemical, radiological and histopathological correlation is required for definitive diagnosis. We report here a case of BT in 37-year-old female hemodialysis patient with SHPT.

摘要

血液透析是治疗终末期肾衰竭患者常用的肾脏替代疗法之一。长期透析的患者可能经常出现并发症,如继发性甲状旁腺功能亢进(SHPT)、骨病、淀粉样变性、内分泌紊乱、心血管并发症和感染。棕色瘤(BTs)是一种侵蚀性巨细胞骨病变,在一些原发性或SHPT患者中出现。在所有报告的病例中,约2%显示面部骨骼受累,其中下颌骨是最常受累的部位。明确诊断需要完整的临床、生化、放射学和组织病理学相关性。我们在此报告一例37岁患有SHPT的女性血液透析患者的棕色瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0674/8859602/b40f4282e4d3/JOMFP-25-527-g001.jpg

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