下的布朗瘤是由于甲状腺功能障碍症的次要原因
Katerina Vlachou1, Shoney Bivin2, Richard Burnham2
1Oral and Maxillofacial Surgery, Manchester Royal Infirmary, Manchester, GBR.
Cureus
|January 8, 2026
概括
布朗瘤是一种罕见的甲状腺功能障碍症疾病,呈现为可以模仿恶性瘤的骨损伤. 早期发现和治疗潜在的甲状腺功能障碍症对于管理这些骨症状至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 口腔和牙面部外科手术
- 病理学 病理学 病理学
背景情况:
- 布朗瘤或骨质纤维性囊性骨炎是一种罕见的非新发性甲状腺功能障碍症 (HPT) 的表现.
- 它涉及 osteoclastic 活动的增加,骨周转和纤维组织沉积,通常会影响长骨,但也会影响像下巴这样的面部骨.
- 这种情况可能被误诊为纤维骨性病变,感染或恶性瘤.
研究的目的:
- 报告一个患有原发性副甲状腺功能障碍的患者下部布朗瘤的病例.
- 突出诊断挑战和早期检测和治疗的重要性.
主要方法:
- 一个67岁的女性初级HPT的案例报告.
- 临床表现:牙抽取期间发现的偶发胀.
- 诊断工具:放射成像 (揭示根吸收),组织学检查 (显示多核巨细胞) 和生物化学测试 (血清和副甲状腺激素的升高).
主要成果:
- 放射性成像显示了邻近牙的根吸收.
- 组织学检查证实了特征性的多核巨细胞的存在.
- 血清和副甲状腺激素水平升高证实了初级HPT和布朗瘤的诊断.
结论:
- 布朗瘤,特别是在下,可以是一个诊断挑战,经常被误诊,特别是作为恶性病变.
- 早期检测对于布朗瘤和潜在的甲状腺功能障碍的适当管理至关重要.
- 及时治疗甲状腺功能障碍症对于解决骨损伤至关重要.
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