Nezih MEYDAN, Mediha AYHAN, Sabri BARUTCA, Engin GÜNEY, Şükrü BOYLU

NORMOKALSEMİ İLE SEYREDEN VE METASTATİK KEMİK HASTALIĞINI TAKLİT EDEN BİR BROWN TÜMÖRÜ OLGUSU

Kemik sintigrafisi oldukça yaygın kullanılan bir tarama yöntemidir. Brown tümör ilerlemiş hiperparatiroidinin oldukça nadir görülen bir bulgusudur. Primer hipertroidi, hiperkalsemi ve hipofosfatemi ile seyreden bir hastalıktır ve sintigrafik görüntülemede metastatik kemik hastalığını taklit edebilir. Biz bu yazımızda yaygın kemik ağrısı yakınması ile başvuran ve çekilen tüm vücut kemik sintigrafisinde kostalarda ve sol femur proksimalinde metastatik olarak değerlendirilen aktivite artışları saptanan 65 yaşında bir kadın hastayı sunuyoruz. Ancak, yapılan tetkiklerinde serum kalsiyum ve fosforu normal sınırlardaydı. Paratiroid sintigrafisinde sağ alt bölgede paratiroid adenomu ile uyumlu artmış tutulum saptandı ve paratiroidektomi yapıldı

Anahtar Kelimeler:

normokalsemi, metastaz, Brown tümörü

Normocalcemic Brown Tumor Mimicking Metastatic Bone Disease: Report of a Case

Bone scintigraphy is a commonly used screening tool in medicine. Brown tumor can be a rare skeletal manifestation of advanced hyperparathyroidism. Primer hyperparathyroidism presents with hypercalcaemia and hypophosphatemia and it can mimic metastatic bone disease. We described a 65-year-old woman who has referred for generalized pain exacerbating on movement and increased uptake in the ribs, proximal of the left femur neck suggestive of metastatic lesions by whole body bone scintigraphy. However, serum calcium and phosphorus levels were normal. Parathyroid scintigraphy revealed extensive uptake in the right lower neck regions consistent with parathyroid adenoma. Parathyroidectomy was performed.

Keywords:

normocalcemia, metastases, Brown tumor,

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