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Case Reports in Medicine
Volume 2012 (2012), Article ID 432676, 4 pages
http://dx.doi.org/10.1155/2012/432676
Case Report

A Reference Finding Rarely Seen in Primary Hyperparathyroidism: Brown Tumor

1Deparment of Endocrinology, Faculty of Health Sciences, Bahçeşehir University, 34353 Istanbul, Turkey
2Department of Medical Oncology, Faculty of Medicine, Akdeniz University, 07070 Antalya, Turkey
3Department of Surgery, Antalya Education Research Hospital, 07050 Antalya, Turkey

Received 28 June 2012; Accepted 24 October 2012

Academic Editor: Lothar Bergmann

Copyright © 2012 F. Mantar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary hyperparathyroidism is an endocrinopathy which is characterized with the hypersecretion of parathormone. During the progress of the disease bone loss takes place due to resorption on the subperiosteal and endosteal surfaces. Brown tumor is a localized form of osteitis fibrosa cystica, being part of the hyperparathyroid bone disease. It is rarely the first symptom of hyperparathyroidism. Nowadays, the diagnosis is made at an asymptomatic or minimally symptomatic stage. We present a male patient presented with a massive painless swelling in the left maxilla as the first manifestation of primary hyperparathyroidism due to a parathyroid adenoma. Parathyroidectomy was performed, and there was a regression of the bone lesion, without the need of performing other local surgical procedures.