Parathyroid adenoma fibrocystic osteitis caused by multiple brown tumors and 1 case.docVIP

 PAGE \* MERGEFORMAT 8 Parathyroid adenoma fibrocystic osteitis caused by multiple brown tumors and 1 case [Keywords:] parathyroid glands; fibrous cystic osteitis; tomography Materials and methods Patients, female, 36 years old, 7 years ago after the fall of hip pain, X-ray showed, with multiple pathological fractures pelvis fibrocystic osteitis; subsequent years have been a minor trauma in the right femur, right humerus pathology fracture (Figure 1), with memory, personality change. checkup found that the left sternal end of clavicle and left shoulder blade 9cm × 6cm outer 3cm × 3cm solid mass, with clear boundary, no tenderness, hard, no activity, and the surrounding tissue without adhesion. patients have long-term history of urinary tract stones. on the left and right thyroid adenoma surgery kidney stone surgery. Laboratory examination revealed: Ca3.18mmol / L, P0.69mmol / L, HGB (hemoglobin) 79g / L, ALP875U / L, PTH1740.3pg/ml. Imaging studies: CT showed the back of the left thyroid gland and its footprint (Figure 2); the left scapula, bilateral clavicle, multiple rib part of the thoracic and partial destruction of a huge mass of bone formation (Figure 3). surgery: residual left thyroid gland, size, color, normal, see the front of the lower pole of a 4cm × Pink 3cm solid mass, texture, soft, encapsulated, clear boundary activities. pathology: parathyroid adenoma (Figure 4). Figure 1 fibrocystic multiple systemic inflammation and pathological bone fractures: X-ray film, see the pelvis, right femur, humerus, scapula, clavicle multiple cystic bone destruction, right femur, humerus after internal fixation of pathological fracture Chart 2 on the left parathyroid adenoma and fibrocystic osteitis multiple, large brown tumor of the clavicle: the right thyroid gland surgery was changed, following the left see the remnants of thyroid lesions, enhanced scan enhancement, collarbone, spine, ribs, collarbone see multiple cystic bone destruction, a huge br