DOI QR코드

DOI QR Code

Brown Tumor of the Patella Caused by Primary Hyperparathyroidism: A Case Report

  • Irie, Tomoko (Department of Orthopaedic Surgery, Hamanomachi Hospital) ;
  • Mawatari, Taro (Department of Orthopaedic Surgery, Hamanomachi Hospital) ;
  • Ikemura, Satoshi (Department of Orthopaedic Surgery, Hamanomachi Hospital) ;
  • Matsui, Gen (Department of Orthopaedic Surgery, Hamanomachi Hospital) ;
  • Iguchi, Takahiro (Department of Orthopaedic Surgery, Hamanomachi Hospital) ;
  • Mitsuyasu, Hiroaki (Department of Orthopaedic Surgery, Hamanomachi Hospital)
  • 투고 : 2014.09.24
  • 심사 : 2015.02.16
  • 발행 : 2015.06.01

초록

It has been reported that the common sites of brown tumors are the jaw, pelvis, ribs, femurs and clavicles. We report our experience in a case of brown tumor of the patella caused by primary hyperparathyroidism. An initial radiograph and CT showed an osteolytic lesion and MR images showed a mixed solid and multiloculated cystic tumor in the right patella. One month after the parathyroidectomy, rapid bone formation was observed on both radiographs and CT images.

키워드

참고문헌

  1. Takeshita T, Takeshita K, Abe S, Takami H, Imamura T, Furui S. Brown tumor with fluid-fluid levels in a patient with primary hyperparathyroidism: radiological findings. Radiat Med 2006;24:631-634 https://doi.org/10.1007/s11604-006-0068-4
  2. Knowles NG, Smith DL, Outwater EK. MRI diagnosis of brown tumor based on magnetic susceptibility. J Magn Reson Imaging 2008;28:759-761 https://doi.org/10.1002/jmri.21441
  3. Hong WS, Sung MS, Chun KA, Kim JY, Park SW, Lee KH, et al. Emphasis on the MR imaging findings of brown tumor: a report of five cases. Skeletal Radiol 2011;40:205-213 https://doi.org/10.1007/s00256-010-0979-0
  4. Singh J, James SL, Kroon HM, Woertler K, Anderson SE, Jundt G, et al. Tumour and tumour-like lesions of the patella--a multicentre experience. Eur Radiol 2009;19:701-712 https://doi.org/10.1007/s00330-008-1180-x
  5. Bhagat S, Sharma H, Bansal M, Reid R. Presentation and outcome of primary tumors of the patella. Knee Surg 2008;21:212-216 https://doi.org/10.1055/s-0030-1247821
  6. Vernace N, Bancroft LW. Multiple brown tumors and pathologic patellar fracture in a patient with secondary hyperparathyroidism. Orthopedics 2014;37:564-567 https://doi.org/10.3928/01477447-20140728-01
  7. Hsieh MC, Ko JY, Eng HL. Pathologic fracture of the distal femur in osteitis fibrosa cystica simulating metastatic disease. Arch Orthop Trauma Surg 2004;124:498-501
  8. Jouan A, Zabraniecki L, Vincent V, Poix E, Fournie B. An unusual presentation of primary hyperparathyroidism: severe hypercalcemia and multiple brown tumors. Joint Bone Spine 2008;75:209-211 https://doi.org/10.1016/j.jbspin.2007.03.004
  9. Chew FS, Huang-Hellinger F. Brown tumor. AJR Am J Roentgenol 1993;160:752 https://doi.org/10.2214/ajr.160.4.8456657
  10. Campanacci M. "Brown tumors" in primary hyperparathyroidism. In: Campanacci M, ed. Bone and soft tissue tumors, 2nd ed. New York: Springer-Verlag Wien, 1999:877-899
  11. Lacativa PG, Franco FM, Pimentel JR, Patricio Filho PJ, Goncalves MD, Farias ML. Prevalence of radiological findings among cases of severe secondary hyperparathyroidism. Sao Paulo Med J 2009;127:71-77 https://doi.org/10.1590/S1516-31802009000200004
  12. Witteveen JE, van Thiel S, Romijn JA, Hamdy NA. Hungry bone syndrome: still a challenge in the post-operative management of primary hyperparathyroidism: a systematic review of the literature. Eur J Endocrinol 2013;168:R45-R53 https://doi.org/10.1530/EJE-12-0528
  13. Di Daniele N, Condo S, Ferrannini M, Bertoli M, Rovella V, Di Renzo L, et al. Brown tumour in a patient with secondary hyperparathyroidism resistant to medical therapy: case report on successful treatment after subtotal parathyroidectomy. Int J Endocrinol 2009;2009:827652
  14. Wang X, Wang M, Zhang J, Zhu Y, Zhu M, Gao H, et al. Humeral brown tumor as first presentation of primary hyperparathyroidism caused by ectopic parathyroid adenomas: report of two cases and review of literature. Int J Clin Exp Pathol 2014;7:7094-7099
  15. Vestergaard P, Mollerup CL, Frokjaer VG, Christiansen P, Blichert-Toft M, Mosekilde L. Cohort study of risk of fracture before and after surgery for primary hyperparathyroidism. BMJ 2000;321:598-602 https://doi.org/10.1136/bmj.321.7261.598

피인용 문헌

  1. Atypical Parathyroid Adenoma with Multiple Brown Tumors as Initial Presentation: A Rare Entity vol.32, pp.2, 2017, https://doi.org/10.4103/0972-3919.202234
  2. Manejo quirúrgico de tumor pardo en metacarpo. Reporte de caso vol.34, pp.1, 2020, https://doi.org/10.1016/j.rccot.2020.04.014
  3. 18F-NaF-PET/CT in patients with primary hyperparathyroidism and brown tumors vol.38, pp.3, 2020, https://doi.org/10.1007/s00774-019-01059-z