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Primary hyperparathyroidism presenting with a maxillary tumour and hydrocephalus

Published online by Cambridge University Press:  29 June 2007

P. J. Robinson*
Affiliation:
Departments of Otolaryngology & Radiology, University College Hospital, London.
P. Woodhead
Affiliation:
Departments of Otolaryngology & Radiology, University College Hospital, London.
*
Mr. P. J. Robinson, F.R.C.S. The Royal Ear HospitalHuntley StreetLondon WC1

Abstract

Primary hyperparathyroidism presenting with advanced bone disease is an important differential diagnosis of ‘tumours’ affecting the craniofacial skeleton. We describe a case of primary hyperparathyroidism presenting with a brown tumour of the maxilla causing local symptoms.

Differentiation from other giant cell lesions of the maxilla is necessary. The histological and radiological features of brown tumour, non-ossifying fibroma and reparative granuloma are all similar. Differentiation relies on plasma calcium estimation and the diagnosis of hyperparathyroidism is confirmed by serum parathyroid hormone assay.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1988

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References

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