NUMERO: #20240913

Título: BROWN TUMOR OF HYPERPARATHYROIDISM IN THE MAXILLA, SECONDARY TO KIDNEY DISEASE.

Nome do Apresentador: Giovanna MENESES

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: A 46-year-old woman with facial asymmetry and a prior diagnosis of central giant cell lesion (CGCL) was referred for surgery. She had a history of chronic kidney disease (CKD). Examination revealed nasal deviation and increased volume in the malar region and hard palate on the left. Intraoral examination showed expansion of the vestibular and palatine cortical, crossing the palatal midline. Radiographically, an expansive, predominantly hypodense lesion was observed in the left maxillary region. Laboratory tests (PTH, alkaline phosphatase, phosphorus, and calcium) were requested, which showed alterations suggestive of hyperparathyroidism, thus contributing to the medical teams diagnosis of hyperparathyroidism secondary to CKD. The patient underwent dialysis and partial parathyroidectomy by the medical team. After disease control (PTH: 27 pg/ml) and lesion stabilization with bone formation, a Weber-Fergusson osteoplasty was performed for aesthetic and functional improvement. She has been in post-operative follow-up for 7 months, with her underlying disease under control.

Autor 1:  Giovanna MENESES

E-mail 1:  [email protected]

Autor 2:   João Victor dos Santos SEVERINO

E-mail 2:  [email protected]

Autor 3 :  Christyan Moretti PEREIRA

E-mail 3:  [email protected]

Autor 4:  Italo Oliveira BARBOSA

E-mail 4:  [email protected]

Autor 5:  Carla Estefanía Robalino ALCOCER

E-mail 5:  [email protected]

Autor 6:  Gustavo Grothe MACHADO

E-mail 6:  [email protected]

Autor 7:  Andre Caroli ROCHA

E-mail 7:  [email protected]