Parathyroid Adenoma Presenting as a Brown Tumour of the Mandible
Background. Parathyroid adenoma is the commonest cause of primary hypercalcaemia and usually presents with symptoms/signs of hypercalcaemia. This paper highlights an unusual presentation. Case Report. A 27-year-old female presented with a painful left mandibular swelling, suspicious of neoplasia. A...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/574316 |
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| author | Kavit Amin Bertram Fu Carmelo Barbaccia |
| author_facet | Kavit Amin Bertram Fu Carmelo Barbaccia |
| author_sort | Kavit Amin |
| collection | DOAJ |
| description | Background. Parathyroid adenoma is the commonest cause of primary hypercalcaemia and usually presents with symptoms/signs of hypercalcaemia. This paper highlights an unusual presentation. Case Report. A 27-year-old female presented with a painful left mandibular swelling, suspicious of neoplasia. A computed tomography (CT) guided biopsy was performed. Based on the histology result, serum calcium was carried out, confirming hypercalcaemia. A left inferior parathyroid adenoma was subsequently removed. CT mandible showed extensive erosive lesions at the left 2nd/3rd inferior molar roots with protrusion to adjacent soft tissues. USS revealed a hypoechoic lesion on the left inferior parathyroid gland. Sestamibi scan showed a focus of MIBI uptake and retention at the inferior aspect of the left thyroid lobe. Conclusion. This case highlights the importance of a thorough history and examination. Clinicians should always bear in mind atypical presentations of parathyroid adenomas, with the need to exclude this differential in the presence of hypercalcaemia. |
| format | Article |
| id | doaj-art-183a3d440bbe4537b1548287f4adab7e |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-183a3d440bbe4537b1548287f4adab7e2025-02-03T06:10:54ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/574316574316Parathyroid Adenoma Presenting as a Brown Tumour of the MandibleKavit Amin0Bertram Fu1Carmelo Barbaccia2Head and Neck Surgery, Medway Maritime Hospital, Kent ME7 5NY, UKHead and Neck Surgery, Medway Maritime Hospital, Kent ME7 5NY, UKHead and Neck Surgery, Medway Maritime Hospital, Kent ME7 5NY, UKBackground. Parathyroid adenoma is the commonest cause of primary hypercalcaemia and usually presents with symptoms/signs of hypercalcaemia. This paper highlights an unusual presentation. Case Report. A 27-year-old female presented with a painful left mandibular swelling, suspicious of neoplasia. A computed tomography (CT) guided biopsy was performed. Based on the histology result, serum calcium was carried out, confirming hypercalcaemia. A left inferior parathyroid adenoma was subsequently removed. CT mandible showed extensive erosive lesions at the left 2nd/3rd inferior molar roots with protrusion to adjacent soft tissues. USS revealed a hypoechoic lesion on the left inferior parathyroid gland. Sestamibi scan showed a focus of MIBI uptake and retention at the inferior aspect of the left thyroid lobe. Conclusion. This case highlights the importance of a thorough history and examination. Clinicians should always bear in mind atypical presentations of parathyroid adenomas, with the need to exclude this differential in the presence of hypercalcaemia.http://dx.doi.org/10.1155/2012/574316 |
| spellingShingle | Kavit Amin Bertram Fu Carmelo Barbaccia Parathyroid Adenoma Presenting as a Brown Tumour of the Mandible Case Reports in Medicine |
| title | Parathyroid Adenoma Presenting as a Brown Tumour of the Mandible |
| title_full | Parathyroid Adenoma Presenting as a Brown Tumour of the Mandible |
| title_fullStr | Parathyroid Adenoma Presenting as a Brown Tumour of the Mandible |
| title_full_unstemmed | Parathyroid Adenoma Presenting as a Brown Tumour of the Mandible |
| title_short | Parathyroid Adenoma Presenting as a Brown Tumour of the Mandible |
| title_sort | parathyroid adenoma presenting as a brown tumour of the mandible |
| url | http://dx.doi.org/10.1155/2012/574316 |
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