이차성 부갑상선 기능항진증과 연관되어 발생한 상완골의 갈색종 1예

• 영문명: Brown Tumor of the Humerus Associated with Secondary Hyperparathyroidism: A Case Report of Successful Treatment after Subtotal Parathyroidectomy
• 발행기관: 대한내분비외과학회
• 저자명: 서지원 고태경 홍종철 박헌수 Ji Won Seo Tae Kyung Koh Jong Chul Hong Heon Soo Park
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』13권2호, 92~95쪽, 전체 4쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2013.06.30

영문 초록

Brown tumor is a bone disease that arises in the setting of increased osteoclastic activity and fibroblastic proliferation in the involved bone. It is well recognized as serious complication of hyperparathyroidism. Brown tumor is uncommon, and brown tumor with secondary hyperparathyroidism resulting from chronic renal failure has rarely been reported. We recently experienced a case of a 28-year-old Korean woman with chronic renal failure caused by chronic glomerulonephritis, on hemodialysis for nine years. She has been hospitalized with left shoulder pain for two years. Image studies showed multiple cystic masses, and both suspicious marked thinning and partial destruction of the cortex on the head of the left humerus. Histopathologic analysis of the mass lesion showed a fibrotic capsule, hemosiderin pigmentation, and giant cell, all characteristic of brown tumor. A subtotal parathyroidectomy was done without surgery of the bony lesion (brown tumor), with successful results. We report this case with a brief review of the literature.

키워드

갈색종양, 이차성 부갑상선 기능항진증, 부갑상선절제수술,Brown tumor, Secondary hyperparathyroidism, Parathyroidectomy