Received : 27 August 2001 ;
accepted : 5 December 2001
Radiographic follow-up of a phalangeal brown tumor
M.
Franco
*,
J.C.
Bendini,
L.
Albano,
D.
Barrillon,
E.
Cassuto,
J.
Bracco
Nephrology department, Hôpital Pasteur, 30, avenue de la Voie Romaine, 06202 Nice cedex 1, France
*Correspondence and reprints
@@#100979@@
We report the 6-year radiographic follow-up of a phalangeal brown tumor in a patient with severe hyperparathyroidism secondary to chronic renal failure treated with hemodialysis. The phalangeal lesion increased in size during the first 3 years, until the patient finally accepted to undergo parathyroidectomy. The initial radiographic change was a small intracortical lytic area. Two years later, an expansile cystic lesion was visible in the phalanx, and computed tomography showed a cortical defect. Ossification of the lesion occurred over the 2.5 years following parathyroidectomy. The epidemiology, radiographic changes and post-treatment evolution of brown tumor in dialysed patients is reviewed. Surgical parathyroidectomy is the standard treatment for brown tumor complicating secondary hyperparathyroidism. The usefulness and limitations of treatment with vitamin D analogs, recently reported in a few case reports, are discussed.
Mots clés : hyperparathyroidism ; parathyroidectomy ; renal failure.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925. As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. Personal information regarding our website's visitors, including their identity, is confidential. The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Close
Article Outline
You can move this window by clicking on the headline
Previous Article
