Morpho-functional imaging in a patient with hyperparathyroidism and multifocal maxillary brown tumor

被引：5
作者：
Heimburger, C. [1 ]
Andres, E. [2 ]
Rust, E. [1 ]
Ghiura, C. [2 ]
Nono, C. Dakayi [2 ]
Hassler, S. [3 ]
Hubele, F. [1 ]
Riehm, S. [4 ]
Namer, I. J. [1 ]
Imperiale, A. [1 ]
机构：
[1] Hop Univ Strasbourg, Hop Hautepierre, Serv Biophys & Med Nucl, F-67098 Strasbourg, France
[2] Hop Univ Strasbourg, Hop Civil, Serv Med Interne Diabet & Malad Metab, Clin Med B, F-67091 Strasbourg, France
[3] Ctr Paul Strauss, Ctr Reg Lutte Canc, Nucl Med Serv, F-67065 Strasbourg, France
[4] Hop Hautepierre, Serv Radiol 1, F-67098 Strasbourg, France
来源：
REVUE DE MEDECINE INTERNE | 2013年 / 34卷 / 06期
关键词：
Hyperparathyroidism; Brown tumor; PET-scan; FDG; MULTIPLE BONE METASTASES; FDG PET/CT FINDINGS; SECONDARY HYPERPARATHYROIDISM; TOMOGRAPHY; DISEASE; SCAN; TOOL;
D O I：
10.1016/j.revmed.2013.02.007
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Introduction. - Brown tumors are uncommon osteolytic lesions directly related to the increased osteoclastic activity due to hyperparathyroidism. Case report. - A 37-year-old woman presented with hypercalcemia related to primary hyperparathyroidism. Multiple and bilateral maxillary osteolytic lesions showing intense fluorodesoxyglucose (FDG) uptake were noted in a positron emission tomography computed tomography (PET-CT). Diagnosis of maxillary brown tumors was discussed and confirmed by both orthopantomogram and magnetic resonance imaging. Left inferior parathyroid adenoma was detected by both cervical ultrasonography and parathyroid scintigraphy, and then surgically treated with consequent improvement of hyperparathyroidism. Conclusion. - Our case emphasizes the necessity of a multidisciplinary diagnostic approach to optimize the interpretation of the available imaging, especially in unusual and unrecognized pathology as brown tumors. (C) 2013 Societe nationale francaise de medecine interne (SNFMI). Publie par Elsevier Masson SAS. Tous droits reserves.
引用
收藏
页码：377 / 381
页数：5
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