A great mimicker of Bone Secondaries: Brown Tumors, presenting with a Degenerative Lumber Disc like pain

Z. Bayramoğlu, R. Yılmaz, A. Bayram
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Abstract

This report presents an adult patient suffering from sacroiliitis like low back pain, lumbosacral radiculopathy and elbow swelling. Multimodality imaging revealed multiple lytic bone lesions located in supra acetabular iliac bone, sacrum, and distal end of radius. Painful numerous lesions due to the extension to the articular surfaces are not expected for Brown tumors. Less than ten cases with multiple Brown tumor due to primary hyperparathyroidism has been reported. Although Brown tumors are mostly diagnosed incidentally, this case would awake the physicians about rheumatological symptoms in the presentation of Brown tumors. Since Brown tumors are non-touch bone lesions that are expected to regress after parathyroid adenoma removal, it is important to distinguish Brown tumors from the giant cell tumors. Case Report A great mimicker of Bone Secondaries: Brown Tumors, presenting with a Degenerative Lumber Disc like pain Zuhal Bayramoglu1*, Ravza Yılmaz1 and Aysel Bayram2 1Department of Radiology, Istanbul Medical Faculty, Istanbul University, Capa, Fatih, 34093, Istanbul, Turkey 2Department of Pathology, Istanbul Medical Faculty, Istanbul University, Capa, Fatih, 34093, Istanbul, Turkey *Address for Correspondence: Dr. Zuhal Bayramoglu, Department of Radiology, Istanbul Medical Faculty, Istanbul University, Capa, Fatih, 34093, Istanbul, Turkey, Tel: +90-212414-20-00, Fax: +90-212-631-07-28; Email: incezuhal@yahoo.com Submitted: 06 June 2017 Approved: 14 July 2017 Published: 17 July 2017 Copyright: 2017 Bayramoglu Z. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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骨继发性的巨大模仿者:棕色肿瘤,表现为退行性腰椎间盘样疼痛
这个报告提出了一个成人患者患有骶髂炎像腰痛,腰骶神经根病和肘部肿胀。多模态影像显示位于髋臼上髂骨、骶骨和桡骨远端多发溶解性骨病变。由于延伸到关节面,疼痛的大量病变在棕色肿瘤中是不可能出现的。据报道,原发性甲状旁腺功能亢进导致多发棕色肿瘤的病例不足10例。虽然棕色肿瘤大多是偶然诊断的,但本病例将提醒医生注意棕色肿瘤的风湿病症状。由于褐色肿瘤为非接触性骨病变,切除甲状旁腺瘤后会消退,因此将褐色肿瘤与巨细胞肿瘤区分开来是很重要的。病例报告:棕色肿瘤,表现为退行性椎间盘样疼痛Zuhal Bayramoglu1*, Ravza Yılmaz1和Aysel Bayram2 1伊斯坦布尔大学伊斯坦布尔医学院放射学系,卡帕,法提赫,34093,伊斯坦布尔,土耳其2伊斯坦布尔大学伊斯坦布尔医学院病理学系,卡帕,法提赫,34093,伊斯坦布尔,土耳其*通信地址:Zuhal Bayramoglu医生,伊斯坦布尔大学,伊斯坦布尔医学院放射科,卡帕,法提赫,34093,伊斯坦布尔,土耳其,电话:+90-212414-20-00,传真:+90-212-631-07-28;电子邮件:incezuhal@yahoo.com提交:2017年6月6日批准:2017年7月14日发布:2017年7月17日版权:2017 Bayramoglu Z.这是一篇根据知识共享署名许可发布的开放获取文章,允许在任何媒介上不受限制地使用,分发和复制,前提是原始作品被适当引用。
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