NUMERO: #20240770

Título: Craniofacial deformity caused by Brown tumor in secondary hyperthyroidism due to chronic renal insufficiency.

Nome do Apresentador: ADRIANA DOS SANTOS CAETANO

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Odontologia hospitalar

Resumo: Brown Tumor is a central giant cell lesion associated with hyperparathyroidism, characterized by slow and gradual growth that can lead to significant craniofacial deformities. This study aims to report a case of Brown Tumor associated with secondary hyperparathyroidism due to chronic kidney disease (CKD) in a 49-year-old female patient. She has had secondary hyperparathyroidism due to CKD since 2004, with a PTH level of 1,227pg/mL (normal range: 15~68.3pg/mL), presenting with voluminous and exuberant maxillo-mandibular enlargement, along with a history of spontaneous tooth loss due to lesion growth. Facial computed tomography revealed expansion and disruption of the bone cortices in the right maxilla and mentonian region. Bone scintigraphy showed increased uptake in the parathyroid region, thorax, and maxillary bones. With the advent of improved CKD treatments, clinicians increasingly encounter patients with these systemic conditions, underscoring the importance of understanding the disease, optimal approach, and ideal timing for dental procedures.

Autor 1:  ADRIANA DOS SANTOS CAETANO

E-mail 1:  [email protected]

Autor 2:   BEATRIZ DOMINGOS SILVA

E-mail 2:  [email protected]

Autor 3 :  PAULO VICTOR PELETEIRO

E-mail 3:  [email protected]

Autor 4:  MARCELO PIZZOLATO DE ABREU SAMPAIO

E-mail 4:  [email protected]

Autor 5:  WELSON ROCHA VIEIRA

E-mail 5:  [email protected]

Autor 6:  JULIANA BERTOLDI FRANCO

E-mail 6:  [email protected]