Brown Tumor a Rare Presentation of Maxillary Cyst with Pathological Fracture of Femur

Aluru Jayakrishna Reddy*, Rajkumar Shreya, Rajkumar Anirudh, Rajkumar JS and Senthil Kumar S

Department of Surgical Gastroenterology, Lifeline Institute of Minimal Access, India

^*Correspondance to: Aluru Jayakrishna Reddy 

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Abstract:

Brown tumor is a giant cell lesion associated with hyperparathyroidism. It is a benign condition
and represents the terminal stage of the remodeling process in the hyperparathyroid state. This
severe parathyroid bone disease is a rare clinical presentation of primary hyperparathyroidism
which is most often due to a parathyroid adenoma, secreting Parathormone (PTH). Elevated PTH
levels cause bone resorption, the formation of polyostotic lesions and a reduction in bone mineral
density, predisposing to pathological fractures [1]. Here we report the case of middle aged female
having primary hyperthyroidism due to a parathyroid adenoma with osteolytic cystic lesions of the
pelvis, the femur, and right maxillary bone. She was treated with surgical excision of the affected
parathyroid gland, followed by open reduction and internal fixation with intra medullary nailing of
the fractured femur.

Keywords:

Primary hyperparathyroidism; Brown tumor; Excision

Cite the Article:

Reddy AJ, Shreya R, Anirudh R, Rajkumar JS, Senthil Kumar S. Brown Tumor a Rare Presentation of Maxillary Cyst with Pathological Fracture of Femur. World J Surg Surgical Res. 2021; 4: 1316..