| Autor: |
SILVA, Herberth Campos, e SILVA, Larissa Doalla de Almeida, ROCHA, Gabriela Fonseca, TELLES, Ana Claudia Oliveira, LUIZ, Brunno Emanuel Gomes, da SILVEIRA, Esmeralda Maria, MESQUITA, Ana Terezinha Marques |
| Zdroj: |
Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe261-e262, 2p |
| Abstrakt: |
Brown tumor is a rare condition often observed more frequently in female patients, typically in the sixth decade of life or older. However, we present the case of a 20-year-old male who was referred for evaluation of a painful mandibular mass that had been present for 2 months. The patient's medical history included chronic renal disease, and he had been undergoing hemodialysis for 2 years. Upon intra-oral examination, a swelling on the lingual surface in the posterior region of the mandible was identified. A panoramic radiograph revealed irregular radiolucencies extending from tooth 34 to 48. An incisional biopsy was performed, and microscopic analysis showed well-vascularized dense connective tissue, with variable numbers of spindle-shaped cells and multinucleated giant cells diffusely distributed. Laboratory tests indicated elevated levels of parathyroid hormone (PTH), calcium, and alkaline phosphatase. Consequently, a diagnosis of hyperparathyroidism brown tumor was established. The patient received treatment to control PTH levels, and after a 9-month follow-up, he remained stable and exhibited a decrease in the size of the tumor. [ABSTRACT FROM AUTHOR] |
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