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J Clin Diagn Res. 2014 May;8(5):ZD13-5. doi: 10.7860/JCDR/2014/7511.4358. Epub 2014 May 15.

Diagnosis and clinico-radiological presentation in an aggressive maxillary brown tumour.

Author information

1
Senior Lecturer, Department of Oral Medicine & Radiology, Institute of Dental Sciences & SUM Hospital , Bhubaneshwar, Odisha, India .
2
Professor and HOD, Department of Oral Medicine & Radiology, Government Dental College and Research Institute , Bangalore, India .
3
Associate Professor, Department of Oral Medicine & Radiology, Government Dental College and Research Institute , Bangalore, India .
4
Senior Resident, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences , New Delhi, India .

Abstract

Brown's tumour is an uncommon focal giant cell lesion which arises as a result of the effect of increased parathyroid hormone on bone tissues in hyperparathyroidism. The mandible is the predominantly affected site in the maxillofacial area and a maxillary involvement is rare. The severity of the lesion, caused by a Brown's tumour, may lead to evident osteolysis and gross deformity in the maxillofacial region, which suggests the need for making an early diagnosis and giving prompt treatment. We are reporting a male patient who presented with a massive painful swelling in the right maxilla as the first manifestation of primary hyperparathyroidism, caused by a parathyroid adenoma.

KEYWORDS:

Brown’s tumour; Hyperparathyroidism; Parathyroid adenoma

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