Abstract
Introduction
Symptomatic skeletal disease in primary hyperparathyroidism is over 30 times more common in India compared to the west. The classical “brown tumour” is commonly seen with the major sites being ends of long bones, the pelvis and ribs. Facial involvement is rare and, when present, usually involves the mandible.
Case report
We report a 68-year-old gentleman with a rare initial presentation of primary hyperparathyroidism with bilateral maxillary brown tumours.
Discussion and conclusion
Successful parathyroid surgery resulted in a regression in the tumours. The report highlights the need to consider primary hyperparathyroidism in the initial differential diagnosis of bony lesions of the jaw.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Goshen O, Aviel-Ronen S, Dori S, Talmi YP (2000) Brown tumour of hyperparathyroidism in the mandible associated with atypical parathyroid adenoma. J Laryngol Otol 114:302–304
Guney E, Yigibasi OG, Bayram F et al (2001) Brown tumor of the maxilla associated with primary hyperparathyroidism. Auris Nasus Larynx 28:369–372
Jacob JJ, John M, Thomas N, Chacko A, Cherian R, Selvan B, Nair A, Seshadri M (2006) Does hyperparathyroidism cause pancreatitis? A South Indian experience and a review of published work. ANZ J Surg 76:740–744
Khochtali H, Ach K, Jlidi R, Bouhaouala H et al (1991) Bilateral brown tumor of the jaw. Apropos of a case. Rev Stomatol Chir Maxillofac 92:116–119 (in French)
Scott SN, Graham SM, Sato Y, Robinson RA (999) Brown tumour of the palate in a patient with primary hyperparathyroidism. Ann Otol Rhinol Laryngol 108:91–94
Triantafillidou K, Zouloumis L, Karakinaris G, Kalimeras E, Iordanidis F (2006) Brown tumors of the jaws associated with primary or secondary hyperparathyroidism. A clinical study and review of the literature. Am J Otolaryngol 27:281–286
Watanabe T, Tsukamoto F, Shimizu T et al (1998) Familial isolated hyperparathyroidism caused by single adenoma: a distinct entity different from multiple endocrine neoplasia. Endocr J 45:637–646
Wermers RA, Khosla S, Atkinson EJ, Hodgson SF et al (1997) The rise and fall of primary hyperparathyroidism: a population-based study in Rochester, Minnesota, 1965–1992. Ann Intern Med 126:433–440
Yamazaki H, Ota Y, Aoki T et al (2003) Brown tumor of the maxilla and mandible: progressive mandibular brown tumor after removal of parathyroid adenoma. J Oral Maxillofac Surg 61:719–722
Source(s) of support
None.
Conflicting interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jebasingh, F., Jacob, J.J., Shah, A. et al. Bilateral maxillary brown tumours as the first presentation of primary hyperparathyroidism. Oral Maxillofac Surg 12, 97–100 (2008). https://doi.org/10.1007/s10006-008-0105-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-008-0105-9