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CASE REPORT
Year : 2012  |  Volume : 16  |  Issue : 6  |  Page : 1040-1042

Primary hyperparathyroidism having multiple Brown tumors mimicking malignancy


1 Department of Radiodiagnosis, Jawaharlal Nehru Medical College, A.M.U. Aligarh, Uttar Pradesh, India
2 Department of Surgery, Jawaharlal Nehru Medical College, A.M.U. Aligarh, Uttar Pradesh, India

Correspondence Address:
Mehtab Ahmad
H. No. 4/1309, New Sir Syed Nagar, Aligarh, Uttar Pradesh - 202 002
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.103037

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Primary hyperparathyroidism is a disease characterized by excessive secretion of parathormone. During the course of this disease, bone loss occurs, particularly depending on resorption of the skeletal system. One of the complications of primary hyperparathyroidism is fibrotic, cystic bony changes which is called Brown tumor. Skeletal manifestations in the form of Brown tumors are rare and according to literature occur in less than 2% of patients suffering from any form of hyperparathyroidism. Such rare and multiple benign lesions may simulate a malignant neoplasm and pose a real challenge for the clinician in its differential diagnosis. We present a case of a 23-year-old Indian woman who was evaluated for multiple lytic expansile lesions with a strong suspicion of malignancy and fibrous dysplasia but turned out to be a case of primary hyperparathyroidism.


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