Premium
More than just tissue diagnosis in a patient with maxillofacial bony lesions and hypercalcemia
Author(s) -
VahabzadehHagh Andrew M.,
Zipser Brian D.,
Tan Hongying T.,
Hong Austin Y.,
Clair Jon MallenSt.,
Armin Bob B.
Publication year - 2017
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26300
Subject(s) - primary hyperparathyroidism , hypophosphatemia , medicine , hyperparathyroidism , osteitis fibrosa cystica , brown tumor , differential diagnosis , craniofacial , presentation (obstetrics) , pathology , general surgery , radiology , surgery , parathyroid hormone , secondary hyperparathyroidism , psychiatry , calcium
Brown tumors are a definitive feature of hyperparathyroidism. They are well‐demarcated osteolytic lesions commonly in the appendicular skeleton. Primary hyperparathyroidism is typically suggested by hypercalcemia and hypophosphatemia on routine labs. Much more rarely do these cases present with a craniofacial mass. Here we investigate a unique presentation of terminal stage primary hyperparathyroidism with a growing maxillary mass emphasizing the importance of a broad differential diagnosis and key diagnostic studies. Hyperparathyroidism can present in very unique ways. As otolaryngologists in the frontline, we must think beyond just tissue diagnoses so that appropriate and expedited care may be implemented. Laryngoscope , 127:1318–1321, 2017