Title:
Ectopic parathyroid adenoma presenting as facial expansile growths
Authors:
M. Dhiwakar , S. Damodharan , K. M. Rajeshwari and S. Mehta
Institutions:
Departments of Otolaryngology, Head & Neck Surgery, Endocrinology and Pathology, Kovai Medical Center & Hospital, Coimbatore, India
Keywords:
Parathyroid adenoma; giant cell reparative granuloma; mandible; maxilla
Pages:
73 - 76
Abstract:
Ectopic parathyroid adenoma presenting as facial expansile growths. Background: Giant cell reparative granuloma of the facial skeleton is a rare presentation of hyperparathyroidism. Methodology: A 17-year-old girl presented with progressive expansile bony growths of the mandible and maxilla. The case was investigated using biopsies, blood tests, imaging, and surgery. Results: Biopsies confirmed giant cell reparative granuloma. Blood testing revealed very high parathyroid hormone levels, and brown tumours due to primary hyperparathyroidism weresuspected. Surgical removal of an ectopic adenoma led to correction of the endocrine condition. Conclusions: To our knowledge, this is the first reported case of multiple brown tumours of the facial skeleton due to an ectopic parathyroid adenoma. Diagnostic pitfalls and therapeutic challenges are described.
Issue:
Vol. 12, 2016, 1st trimester


Download:
Ectopic parathyroid adenoma presenting as facial expansile growths