Parbatani R, Tinsley G F, Danford M H
Department of Oral Medicine, University of Bristol Dental Hospital, United Kingdom.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Mar;85(3):282-4. doi: 10.1016/s1079-2104(98)90009-9.
The case of a giant-cell epulis as an initial feature of primary hyperparathyroidism is presented. A 58-year-old woman appeared for dental treatment with a buccal alveolar swelling that was confirmed by means of biopsies to be a multinucleated giant-cell lesion. High calcium levels warranted investigation for a parathyroid adenoma, which was located in an ectopic position and surgically removed. This case delineates the importance of referring patients with oral lesions of doubtful cause to specialists for further diagnostic workup.
本文报告一例以巨细胞性龈瘤为原发性甲状旁腺功能亢进初始特征的病例。一名58岁女性因颊侧牙槽肿胀前来接受牙科治疗，活检证实该肿胀为多核巨细胞病变。高钙水平促使对甲状旁腺腺瘤进行检查，该腺瘤位于异位位置并通过手术切除。该病例说明了将病因不明的口腔病变患者转诊给专科医生进行进一步诊断检查的重要性。
