原発性副甲状腺機能亢進症に生じた下顎骨褐色腫の1例
A brown tumor is a giant cell bone lesion that occurs as a complication of hyperparathyroidism. We report a case of mandibular brown tumor associated with primary hyperparathyroidism in a 27-year-old man. Computed tomography (CT) showed a large bilateral tumor in the mandibular region, and biopsy of...
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| Published in | 日本口腔外科学会雑誌 Vol. 61; no. 12; pp. 656 - 661 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.12.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.61.656 |
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| Abstract | A brown tumor is a giant cell bone lesion that occurs as a complication of hyperparathyroidism. We report a case of mandibular brown tumor associated with primary hyperparathyroidism in a 27-year-old man. Computed tomography (CT) showed a large bilateral tumor in the mandibular region, and biopsy of the mandibular tumor showed a giant cell lesion. The laboratory data showed hypercalcemia and hyperparathyroidism. Contrast-enhanced CT revealed a cystic lesion on the right parathyroid gland. On the basis of these findings, the mandibular tumor was diagnosed to be a brown tumor. Three years 5 months have passed since right parathyroidectomy was performed, and the mandibular bone brown tumors have disappeared bilaterally. Moreover, the progress of the patient has been good. |
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| AbstractList | A brown tumor is a giant cell bone lesion that occurs as a complication of hyperparathyroidism. We report a case of mandibular brown tumor associated with primary hyperparathyroidism in a 27-year-old man. Computed tomography (CT) showed a large bilateral tumor in the mandibular region, and biopsy of the mandibular tumor showed a giant cell lesion. The laboratory data showed hypercalcemia and hyperparathyroidism. Contrast-enhanced CT revealed a cystic lesion on the right parathyroid gland. On the basis of these findings, the mandibular tumor was diagnosed to be a brown tumor. Three years 5 months have passed since right parathyroidectomy was performed, and the mandibular bone brown tumors have disappeared bilaterally. Moreover, the progress of the patient has been good. |
| Author | 越沼, 伸也 肥後, 智樹 町田, 好聡 山本, 学 渋谷, 亜佑美 齋藤, 翔太 |
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| Copyright | 2015 社団法人 日本口腔外科学会 |
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| References | 18) Triantafillidou K, Zouloumis L, et al : Brown tumors of the jaws associated with primary or secondary hyperparathyroidism. A clinical study and review of the literature. Otolaryngol Head Neck Surg 27: 281-6, 2006. 2) Jebasingh F, Jacob JJ, et al : Bilateral maxillary brown tumours as the first presentation of primary hyperparathyroidism. Oral and Maxillofacial Surgery 12: 97-100, 2008. 14) Keyser JS and Postma GN : Brown tumor of the mandible. Am J Otolaryngol 17: 407-410, 1996. 19) Martínez-Gavidia EM, Bagán JV, et al : Highly aggressive brown tumour of the maxilla as first manifestation of primary hyperparathyroidism. Int J Oral Maxillofac Surg 29: 447-9, 2000. 8) 若杉哲郎, 永谷郡司, 他：上顎骨褐色腫を合併した原発性副甲状腺機能亢進症例. 耳鼻咽喉科臨床 105: 973-980, 2012. 24) Pawlak W, Bohdanowicz-Pawlak A, et al : Primary hyperparathyroidism presenting as a giant cell tumor of the jaws. Neuro Endocrinol Lett 34: 107-10, 2013. 49) Corbetta S, Rossi D, et al : Brown jaw tumor: today's unusual presentation of primary hyperparathyroidism. J Endocrinol Invest 26: 675-678, 2003. 4) 立川隆治, 平川勝洋：口蓋ブラウン腫瘍を伴った原発性副甲状腺機能亢進症の1例. 広島医 63: 367-369, 2010. 52) Campanacci M : Bone and soft tissue tumors,“brown tumor”in primary hyperparathyroidism. Springer-Verlag, New York: 877-899, 1999. 37) Grulois V, Buysschaert I, et al : Brown tumour: presenting symptom of primary hyperparathyroidism. B-ENT 1: 191-5, 2005. 36) Bedard CH, Nichols RD, et al : Osteitis fibrosa (brown tumor) of the maxilla. Laryngoscope 84: 2093-100, 1974. 12) Amin K, Fu B, et al : Parathyroid adenoma presenting as a brown tumour of the mandible. Case reports in medicine. 2012:574316. doi:10.1155/2012/574316, 2012. 45) Heimburger C, Andres E, et al : Morpho-functional imaging in a patient with hyperparathyroidism and multifocal maxillary brown tumor. Rev Med Interne 34: 377-81, 2013. 17) Soundarya N, Sharada P, et al : Bilateral maxillary brown tumors in a patient with primary hyperparathyroidism. Report of a rare entity and review of literature. J Oral Maxillofac Pathol 15: 56-9, 2011. 42) Qari FA : Brown tumor in a patient with ectopic mediastinal parathyroid adenoma: A case report. Saudi Dent J 26: 74-7, 2014. 23) Kar DK, Gupta SK, et al : Brown tumor of the palate and mandible in association with primary hyperparathyroidism. J Oral Maxillofac Surg 59: 1352-1354, 2001. 38) García MM, Rivero VP et al : Brown bone tumor as the first manifestation of primary hyperparathyroidism. Acta Otorrinolaringol Esp 54: 470-3, 2003. 15) Daniels JS : Primary hyperparathyroidism presenting as a palatal brown tumor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98: 409-413, 2004. 16) Suarez-Cunqueiro MM, Schoen R, et al : Brown tumor of the mandible as first manifestation of atypical parathyroid adenoma. J Oral Maxillofac Surg 62: 1024-1028, 2004. 43) Rafizadeh S, Duarte VM, et al : Tumor of maxilla in a patient with hypercalcemia. Brown tumor of primary hyperparathyroidism. JAMA Otolaryngol Head Neck Surg 139: 741-2, 2013. 28) Emin AH, Süoğlu Y, et al : Normocalcemic hyperparathyroidism presented with mandibular brown tumor: report of a case. Auris Nasus Larynx 31: 299-304, 2004. 22) Sia HK, Hsieh MC, et al : Maxillary brown tumor as initial presentation of parathyroid adenoma: a case report. J Med Sci 28: 400-403, 2012. 40) Bradoo RA, Shah KD, et al : Brown Tumour of the Maxilla - A Manifestation of Primary hyperparathyroidism. Bombay Hospital Journal 51: 280-4, 2009. 13) Bahrami E, Alireza T, et al : Maxillary and orbital brown tumor of primary hyperparathyroidism. The American journal of case reports 13: 183-186, 2012. 44) Malika F, Taali L, et al : Maxillary brown tumor revealing primary hyperparathyroidism: apropos of a case and review of the literature. Pan Afr Med J 14:21. doi: 10.11604/pamj.2013.14.21.1359, 2013. 11) Alhusban M, Baqain ZH, et al : Mandibular brown tumor as the first manifestation of primary hyperparathyroidism: A case report. The Saudi Dental Journal 23: 107-109, 2011. 29) Guney E, Yigitbasi OG, et al : Brown tumor of the maxilla associated with primary hyperparathyroidism. Auris Nasus Larynx 28: 369-72, 2001. 48) Masson EA, MacFarlane IA, et al : Parathyroid carcinoma presenting with a brown tumour of the mandible in a young man. Br J Oral Maxillofac surg 31: 117-9, 1993. 32) Reséndiz-Colosia JA, Rodríguez-Cuevas SA, et al : Evolution of maxillofacial brown tumors after parathyroidectomy in primary hyperparathyroidism. Head & Neck 30: 1497-1504, 2008. 25) Angadi PV, Rekha K, et al :“An exophytic mandibular brown tumor”: an unusual presentation of primary hyperparathyroidism. Oral Maxillofac Surg 14: 67-9, 2010. 7) Mori H, Okada Y, et al : A case of multiple brown tumors with primary hyperparathyroidism. Journal of Bone and Mineral Metabolism 31: 123-127, 2013. 41) Pahlavan PS, Severin MC, et al : Parathyroid carcinoma: A rare case with mandibular brown tumor. Wien Klin Wochenschr 118: 175-9, 2006. 31) Benhammou A, Meziane M, et al : Maxilla-mandibular brown tumors as a first sign of parathyroid adenoma. Ann Otolaryngol Chir Cervicofac 126: 216- 20, 2009. 46) Wilson JJ, Schwartz HC, et al : Brown tumor of the posterior maxilla as initial manifestation of primary hyperparathyroidism: case report. J Oral Maxillofac Surg 71: 886-90, 2013. 26) Fernández-Sanromán J, Antón-Badiola IM et al : Brown tumor of the mandible as first manifestation of primary hyperparathyroidism: diagnosis and treatment. Med Oral Patol Oral Cir Bucal 10: 169-72, 2005. 30) Merz MN, Massich DD, et al : Hyperparathyroidism presenting as brown tumor of the maxilla. Am J Otolaryngol 23: 173-176, 2002. 20) Phitayakorn R, McHenry CR, et al : An uncommon presenting manifestation of primary hyperparathyroidism. World J Endocr Surg 2: 45-50, 2010. 34) Dinkar AD, Sahai S, et al : Primary hyperparathyroidism presenting as an exophytic mandibular mass. Dentomaxillofac Radiol 36: 360-3, 2007. 47 Mantar F, Gunduz S, et al : A reference finding rarely seen in primary hyperparathyroidism: brown tumor. Case Rep Med 2012:432676. doi:10.1155 /2012/432676, 2012. 1) Mendes PH, de Melo Filho MR, et al : Symptomatic swelling on the lingual surface of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 117: 546-50, 2014. 33) Goshen O, Aviel-Ronen S, et al : Brown tumour of hyperparathyroidism in the mandible associated with atypical parathyroid adenoma. J Laryngol Otol 114: 302-4, 2000. 3) 沖田充司, 佐野由文, 他：骨融解著明な骨褐色腫で発見された原発性副甲状腺機能亢進症の3例. 臨外 57: 1575-1579, 2002. 10) Shetty AD, Namitha J, et al : Brown Tumor of Mandible in Association with Primary hyperparathyroidism: A Case Report. J Int Oral Health 7: 50-52, 2015. 27) Scott SN, Sato Y, et al : Imaging case study of the month: Brown tumor of the palate in a patient with primary hyperparathyroidism. The Annals of Otology, Rhinology & Laryngology 108: 91-4, 1999. 5) 関口 隆, 野口 誠, 他：上顎に発生した褐色腫の一例. 口科誌 40: 873-879, 1991. 6) Yamazaki H, Ota Y, et al : Brown tumor of the maxilla and mandible: Progressive mandibular brown tumor after removal of parathyroid adenoma. J Oral Maxillofac Surg 61:719-722, 2003. 51) DePablos PL, Ramos I, et al : Brown tumor in the palate associated with primary hyperparathyroidism. Journal of Oral Maxillofacial Surgery 45: 719-20, 1987. 39) Sutbeyaz Y, Yoruk O, et al : Primary hyperparathyroidism presenting as a palatal and mandibular brown tumor. J Craniofac Surg 20: 2101-4, 2009. 35) Albors SC, Obispo CA, et al : Brown tumor of the mandible: first clinical presentation of primary hyperparathyroidism. Med Clin (Barc) 128: 197-8, 2007. 21) Chowdhury S, Aggarwal A, et al : Brown tumor of hyperparathyroidism involving craniomaxillofacial region: a rare case report and literature review. Minerva Stomatol 62: 343-8, 2013. 9) Huang R, Zhuang R, et al : Unusual presentation of primary hyperparathyroidism: report of three cases. BMC Medical Imaging 15:23 doi:10.1186/s12880-015-0064-1, 2015. 50) Carlotti AE, Camitta FD, et al : Primary hyperparathyroidism with giant cell tumors of the maxilla: Report of a case. Journal of Oral Surgery 27: 722-727, 1969. |
| References_xml | – reference: 45) Heimburger C, Andres E, et al : Morpho-functional imaging in a patient with hyperparathyroidism and multifocal maxillary brown tumor. Rev Med Interne 34: 377-81, 2013. – reference: 12) Amin K, Fu B, et al : Parathyroid adenoma presenting as a brown tumour of the mandible. Case reports in medicine. 2012:574316. doi:10.1155/2012/574316, 2012. – reference: 5) 関口 隆, 野口 誠, 他：上顎に発生した褐色腫の一例. 口科誌 40: 873-879, 1991. – reference: 1) Mendes PH, de Melo Filho MR, et al : Symptomatic swelling on the lingual surface of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 117: 546-50, 2014. – reference: 9) Huang R, Zhuang R, et al : Unusual presentation of primary hyperparathyroidism: report of three cases. BMC Medical Imaging 15:23 doi:10.1186/s12880-015-0064-1, 2015. – reference: 34) Dinkar AD, Sahai S, et al : Primary hyperparathyroidism presenting as an exophytic mandibular mass. Dentomaxillofac Radiol 36: 360-3, 2007. – reference: 33) Goshen O, Aviel-Ronen S, et al : Brown tumour of hyperparathyroidism in the mandible associated with atypical parathyroid adenoma. J Laryngol Otol 114: 302-4, 2000. – reference: 23) Kar DK, Gupta SK, et al : Brown tumor of the palate and mandible in association with primary hyperparathyroidism. J Oral Maxillofac Surg 59: 1352-1354, 2001. – reference: 21) Chowdhury S, Aggarwal A, et al : Brown tumor of hyperparathyroidism involving craniomaxillofacial region: a rare case report and literature review. Minerva Stomatol 62: 343-8, 2013. – reference: 25) Angadi PV, Rekha K, et al :“An exophytic mandibular brown tumor”: an unusual presentation of primary hyperparathyroidism. Oral Maxillofac Surg 14: 67-9, 2010. – reference: 11) Alhusban M, Baqain ZH, et al : Mandibular brown tumor as the first manifestation of primary hyperparathyroidism: A case report. The Saudi Dental Journal 23: 107-109, 2011. – reference: 31) Benhammou A, Meziane M, et al : Maxilla-mandibular brown tumors as a first sign of parathyroid adenoma. Ann Otolaryngol Chir Cervicofac 126: 216- 20, 2009. – reference: 24) Pawlak W, Bohdanowicz-Pawlak A, et al : Primary hyperparathyroidism presenting as a giant cell tumor of the jaws. Neuro Endocrinol Lett 34: 107-10, 2013. – reference: 7) Mori H, Okada Y, et al : A case of multiple brown tumors with primary hyperparathyroidism. Journal of Bone and Mineral Metabolism 31: 123-127, 2013. – reference: 51) DePablos PL, Ramos I, et al : Brown tumor in the palate associated with primary hyperparathyroidism. Journal of Oral Maxillofacial Surgery 45: 719-20, 1987. – reference: 15) Daniels JS : Primary hyperparathyroidism presenting as a palatal brown tumor. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98: 409-413, 2004. – reference: 46) Wilson JJ, Schwartz HC, et al : Brown tumor of the posterior maxilla as initial manifestation of primary hyperparathyroidism: case report. J Oral Maxillofac Surg 71: 886-90, 2013. – reference: 47 Mantar F, Gunduz S, et al : A reference finding rarely seen in primary hyperparathyroidism: brown tumor. Case Rep Med 2012:432676. doi:10.1155 /2012/432676, 2012. – reference: 16) Suarez-Cunqueiro MM, Schoen R, et al : Brown tumor of the mandible as first manifestation of atypical parathyroid adenoma. J Oral Maxillofac Surg 62: 1024-1028, 2004. – reference: 13) Bahrami E, Alireza T, et al : Maxillary and orbital brown tumor of primary hyperparathyroidism. The American journal of case reports 13: 183-186, 2012. – reference: 28) Emin AH, Süoğlu Y, et al : Normocalcemic hyperparathyroidism presented with mandibular brown tumor: report of a case. Auris Nasus Larynx 31: 299-304, 2004. – reference: 3) 沖田充司, 佐野由文, 他：骨融解著明な骨褐色腫で発見された原発性副甲状腺機能亢進症の3例. 臨外 57: 1575-1579, 2002. – reference: 22) Sia HK, Hsieh MC, et al : Maxillary brown tumor as initial presentation of parathyroid adenoma: a case report. J Med Sci 28: 400-403, 2012. – reference: 6) Yamazaki H, Ota Y, et al : Brown tumor of the maxilla and mandible: Progressive mandibular brown tumor after removal of parathyroid adenoma. J Oral Maxillofac Surg 61:719-722, 2003. – reference: 26) Fernández-Sanromán J, Antón-Badiola IM et al : Brown tumor of the mandible as first manifestation of primary hyperparathyroidism: diagnosis and treatment. Med Oral Patol Oral Cir Bucal 10: 169-72, 2005. – reference: 41) Pahlavan PS, Severin MC, et al : Parathyroid carcinoma: A rare case with mandibular brown tumor. Wien Klin Wochenschr 118: 175-9, 2006. – reference: 36) Bedard CH, Nichols RD, et al : Osteitis fibrosa (brown tumor) of the maxilla. Laryngoscope 84: 2093-100, 1974. – reference: 42) Qari FA : Brown tumor in a patient with ectopic mediastinal parathyroid adenoma: A case report. Saudi Dent J 26: 74-7, 2014. – reference: 2) Jebasingh F, Jacob JJ, et al : Bilateral maxillary brown tumours as the first presentation of primary hyperparathyroidism. Oral and Maxillofacial Surgery 12: 97-100, 2008. – reference: 29) Guney E, Yigitbasi OG, et al : Brown tumor of the maxilla associated with primary hyperparathyroidism. Auris Nasus Larynx 28: 369-72, 2001. – reference: 32) Reséndiz-Colosia JA, Rodríguez-Cuevas SA, et al : Evolution of maxillofacial brown tumors after parathyroidectomy in primary hyperparathyroidism. Head & Neck 30: 1497-1504, 2008. – reference: 8) 若杉哲郎, 永谷郡司, 他：上顎骨褐色腫を合併した原発性副甲状腺機能亢進症例. 耳鼻咽喉科臨床 105: 973-980, 2012. – reference: 49) Corbetta S, Rossi D, et al : Brown jaw tumor: today's unusual presentation of primary hyperparathyroidism. J Endocrinol Invest 26: 675-678, 2003. – reference: 39) Sutbeyaz Y, Yoruk O, et al : Primary hyperparathyroidism presenting as a palatal and mandibular brown tumor. J Craniofac Surg 20: 2101-4, 2009. – reference: 14) Keyser JS and Postma GN : Brown tumor of the mandible. Am J Otolaryngol 17: 407-410, 1996. – reference: 52) Campanacci M : Bone and soft tissue tumors,“brown tumor”in primary hyperparathyroidism. Springer-Verlag, New York: 877-899, 1999. – reference: 44) Malika F, Taali L, et al : Maxillary brown tumor revealing primary hyperparathyroidism: apropos of a case and review of the literature. Pan Afr Med J 14:21. doi: 10.11604/pamj.2013.14.21.1359, 2013. – reference: 48) Masson EA, MacFarlane IA, et al : Parathyroid carcinoma presenting with a brown tumour of the mandible in a young man. Br J Oral Maxillofac surg 31: 117-9, 1993. – reference: 38) García MM, Rivero VP et al : Brown bone tumor as the first manifestation of primary hyperparathyroidism. Acta Otorrinolaringol Esp 54: 470-3, 2003. – reference: 30) Merz MN, Massich DD, et al : Hyperparathyroidism presenting as brown tumor of the maxilla. Am J Otolaryngol 23: 173-176, 2002. – reference: 27) Scott SN, Sato Y, et al : Imaging case study of the month: Brown tumor of the palate in a patient with primary hyperparathyroidism. The Annals of Otology, Rhinology & Laryngology 108: 91-4, 1999. – reference: 17) Soundarya N, Sharada P, et al : Bilateral maxillary brown tumors in a patient with primary hyperparathyroidism. Report of a rare entity and review of literature. J Oral Maxillofac Pathol 15: 56-9, 2011. – reference: 35) Albors SC, Obispo CA, et al : Brown tumor of the mandible: first clinical presentation of primary hyperparathyroidism. Med Clin (Barc) 128: 197-8, 2007. – reference: 43) Rafizadeh S, Duarte VM, et al : Tumor of maxilla in a patient with hypercalcemia. Brown tumor of primary hyperparathyroidism. JAMA Otolaryngol Head Neck Surg 139: 741-2, 2013. – reference: 10) Shetty AD, Namitha J, et al : Brown Tumor of Mandible in Association with Primary hyperparathyroidism: A Case Report. J Int Oral Health 7: 50-52, 2015. – reference: 37) Grulois V, Buysschaert I, et al : Brown tumour: presenting symptom of primary hyperparathyroidism. B-ENT 1: 191-5, 2005. – reference: 4) 立川隆治, 平川勝洋：口蓋ブラウン腫瘍を伴った原発性副甲状腺機能亢進症の1例. 広島医 63: 367-369, 2010. – reference: 19) Martínez-Gavidia EM, Bagán JV, et al : Highly aggressive brown tumour of the maxilla as first manifestation of primary hyperparathyroidism. Int J Oral Maxillofac Surg 29: 447-9, 2000. – reference: 50) Carlotti AE, Camitta FD, et al : Primary hyperparathyroidism with giant cell tumors of the maxilla: Report of a case. Journal of Oral Surgery 27: 722-727, 1969. – reference: 20) Phitayakorn R, McHenry CR, et al : An uncommon presenting manifestation of primary hyperparathyroidism. World J Endocr Surg 2: 45-50, 2010. – reference: 40) Bradoo RA, Shah KD, et al : Brown Tumour of the Maxilla - A Manifestation of Primary hyperparathyroidism. Bombay Hospital Journal 51: 280-4, 2009. – reference: 18) Triantafillidou K, Zouloumis L, et al : Brown tumors of the jaws associated with primary or secondary hyperparathyroidism. A clinical study and review of the literature. Otolaryngol Head Neck Surg 27: 281-6, 2006. |
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| Title | 原発性副甲状腺機能亢進症に生じた下顎骨褐色腫の1例 |
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| ispartofPNX | 日本口腔外科学会雑誌, 2015/12/20, Vol.61(12), pp.656-661 |
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