Radiographic follow-up of a phalangeal brown tumor - 01/01/02
M. Franco * , J.C. Bendini, L. Albano, D. Barrillon, E. Cassuto, J. Bracco*Correspondence and reprints
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Résumé |
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.
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Vol 69 - N° 5
P. 506-510 - octobre 2002 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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