View : 22 Download: 0

Osteitis fibrosa cystica mistaken for malignant disease

Title
Osteitis fibrosa cystica mistaken for malignant disease
Authors
Lee J.H.Chung S.M.Kim H.S.
Ewha Authors
정성민김한수
SCOPUS Author ID
정성민scopus; 김한수scopus
Issue Date
2013
Journal Title
Clinical and Experimental Otorhinolaryngology
ISSN
1976-8710JCR Link
Citation
vol. 6, no. 2, pp. 110 - 113
Indexed
SCIE; SCOPUS; KCI WOS scopus
Abstract
A 65-year-old man with back pain had plain radiographs that showed multiple osteolytic bone lesions of the pelvis, femur and L-spine; an magnetic resonance imaging scan of the L-spine showed extensive bony resorption with a posterior epidural mass involving the L1 spinous process; these findings suggested multiple myeloma or bony metastasis. However, all serology testing was negative. The parathyroid hormone and serum calcium levels were found to be abnormally elevated. A fine needle aspiration biopsy suggested that the L-spine lesion was consistent with the diagnosis of osteitis fibrosa cystica. A pathological fracture of the spine compressed the spinal cord, and surgical intervention was required. The neck computed tomography and Tc-99m sestamibi scan showed a solitary parathyroid mass. A minimally invasive parathyroidectomy using intraoperative parathyroid hormone monitoring was performed and two enlarged parathyroid glands identified. This case illustrates the importance of the consideration of a rare brown tumor associated with primary hyperparathyroidism in patients with the bone lesions suggestive of a malignancy. © 2013 by Korean Society of Otorhinolaryngology-Head and Neck Surgery.
DOI
10.3342/ceo.2013.6.2.110
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE