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以颌骨棕色瘤为表现的原发性甲状旁腺功能亢进症:一例报告

Primary hyperparathyroidism presenting as a brown tumor in the mandible: A case report.

作者信息

Staouni Imane Benabdallah, Haloua Meryem, Nizar Bouardi, Alami Badr-Eddine, Lamrani Youssef Alaoui, Maâroufi Mustapha, Boubbou Meryem

机构信息

Department of Radiology mother & child, CHU Hassan II FEZ Sidi Mohammed Ben Abdellah University, Fez, Morocco.

出版信息

Radiol Case Rep. 2022 May 3;17(6):2283-2286. doi: 10.1016/j.radcr.2022.03.081. eCollection 2022 Jun.

Abstract

A brown tumor is a non-neoplastic lesion resulting from an abnormality of bone metabolism in the context of hyperparathyroidism. We report the case of a 51-year-old woman who initially consulted for edentulism and a growing mandibular mass. She benefited from a radiological and biological assessment which made the diagnosis of primary hyperparathyroidism combined with a parathyroid adenoma. We remind through this observation the difficulty to establish a correct diagnosis in patients with an osteolytic process of the maxilla and the necessity to look for hyperparathyroidism in front of a giant cell lesion given the insidious character of this endocrinopathy.

摘要

棕色瘤是一种在甲状旁腺功能亢进情况下由骨代谢异常引起的非肿瘤性病变。我们报告了一例51岁女性病例,她最初因无牙颌和下颌肿物增大前来就诊。她接受了放射学和生物学评估,诊断为原发性甲状旁腺功能亢进合并甲状旁腺腺瘤。通过该病例我们提醒,对上颌骨溶骨性病变患者进行正确诊断存在困难,鉴于这种内分泌疾病的隐匿性,在面对巨细胞病变时必须排查甲状旁腺功能亢进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcab/9092295/870db0650ca8/gr1.jpg

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