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題 名 | Primary Hyperparathyroidism With Brown Tumor Mimicking Metastatic Bone Malignancy=原發性副甲狀腺高能症患產生與轉移性骨腫瘤極為類似之棕色腫瘤 |
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作 者 | 蘇偉儀; 陳正豐; 黃清貴; 陳志學; 陳威明; 陳天雄; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 73:3 2010.03[民99.03] |
頁 次 | 頁177-180+CA30 |
分類號 | 415.662 |
關鍵詞 | 惡性骨腫瘤; 棕色腫瘤; 高血鈣; 代謝性骨疾病; 副甲狀腺瘤; Bone neoplasm; Brown tumor; Hypercalcemia; Metabolic bone disease; Parathyroid adenoma; |
語 文 | 英文(English) |
英文摘要 | Bone and joint pain are commonly encountered conditions in daily practice. In the elderly, when osteolytic lesions are identified in imaging studies, metastatic bone tumor is the first impression that comes to the clinician’s mind. Although the worst-case scenario should be ruled in, other differential diagnoses such as metabolic bone disease should be considered as well. We report a case of brown tumor caused by parathyroid adenoma. The patient had initial presentation of diffuse bone pain and multiple osteolytic lesions on imaging studies similar to metastatic bone tumor. With a systematic approach and awareness of metabolic bone disease, an accurate diagnosis was finally reached. Appropriate treatments, including preventive internal fixation of the impending femoral fracture and surgical excision of the parathyroid adenoma were performed accordingly. The key treatment for the condition was surgical excision of the parathyroid adenoma. After normalization of serum intact-parathyroid hormone level, the bony lesions resolved and required no further orthopedic surgery. The patient is now symptom-free. In addition to suspecting malignancy, the clinician should be highly alert to other possible causes of bony lesions. Brown tumor should be kept in mind during daily practice. |
本系統中英文摘要資訊取自各篇刊載內容。