Brown Tumour in a Patient with Secondary Hyperparathyroidism Resistant to Medical Therapy : Case Report on Successful Treatment after Subtotal Parathyroidectomy

Abstract EN

Brown tumour represents a serious complication of hyperparathyroidism.

Differential diagnosis, based on histological examination, is only presumptive and clinical, radiological and laboratory data are necessary for definitive diagnosis.

Here we describe a case of a brown tumour localised in the maxilla due to secondary hyperparathyroidism in a young women with chronic renal failure.

Hemodialysis and pharmacological treatment were unsuccessful in controlling secondary hyperparathyroidism making it necessary to proceed with a subtotal parathyroidectomy.

The proper timing of the parathyroidectomy and its favourable effect on regression of the brown tumor made it possible to avoid a potentially disfiguring surgical removal of the brown tumor.