Radiographic follow-up of a phalangeal brown tumor
| Autor: | Laetitia Albano, Michel Franco, Jean-Christophe Bendini, D. Barrillon, J. Bracco, Elisabeth Cassuto |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Male
Parathyroidectomy medicine.medical_specialty medicine.medical_treatment Osteitis Fibrosa Cystica Fingers Lesion Rheumatology Renal Dialysis Humans Medicine Hyperparathyroidism business.industry Ossification Standard treatment Middle Aged Phalanx medicine.disease Surgery Brown tumor Kidney Failure Chronic Hyperparathyroidism Secondary Secondary hyperparathyroidism Radiology medicine.symptom Tomography X-Ray Computed business Follow-Up Studies |
| Zdroj: | Joint Bone Spine. 69:506-510 |
| ISSN: | 1297-319X |
| Popis: | We report the 6-year radiographic follow-up of a phalangeal brown tumor in a patient with severe hyperparathyroidism secondary to chronic renal failure treated with hemodialysis. The phalangeal lesion increased in size during the first 3 years, until the patient finally accepted to undergo parathyroidectomy. The initial radiographic change was a small intracortical lytic area. Two years later, an expansile cystic lesion was visible in the phalanx, and computed tomography showed a cortical defect. Ossification of the lesion occurred over the 2.5 years following parathyroidectomy. The epidemiology, radiographic changes and post-treatment evolution of brown tumor in dialysed patients is reviewed. Surgical parathyroidectomy is the standard treatment for brown tumor complicating secondary hyperparathyroidism. The usefulness and limitations of treatment with vitamin D analogs, recently reported in a few case reports, are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect