Abstract

Case Report

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

Zuhal Bayramoglu*, Ravza Yılmaz and Aysel Bayram

Published: 17 July, 2017 | Volume 1 - Issue 1 | Pages: 018-023

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.

Read Full Article HTML DOI: 10.29328/journal.hjpcr.1001004 Cite this Article Read Full Article PDF

Keywords:

Brown tumor; Multiple; Iliac bone; Radius; Sacrum; Magnetic resonance imaging; Computed tomography; Sacroiliitis; Radiculopathy; Hyperparathyroidism

References

  1. Irie T, Mawatari T, Ikemura S, Matsui G, Iguchi T, et al. Brown tumor of the patella caused by primary hyperparathyroidism: a case report. Korean J Radiol. 2015; 16: 613-616. Ref.: https://goo.gl/7unssg
  2. Pappu R, Jabbour SA, Regianto AM, Reginato AJ. Musculoskeletal manifestations of primary hyperparathyroidism. Clin Rheumatol. 2016; 35: 3081-3087. Ref.: https://goo.gl/5Ls7g6
  3. Tayfun H, Metin O, Hakan S, Zafer B, Vardar AF. Brown tumor as an unusual but preventable cause of spinal cord compression: case report and review of the literature. Asian J Neurosurg. 2014; 9: 40-44. Ref.: https://goo.gl/fN9iiG
  4. Tarrass F, Ayad A, Benjelloun M, Anabi A, Ramdani B, et al. Cauda equina compression revealing brown tumor of the spine in a long-term hemodialysis patient. Joint Bone Spine. 2006; 73: 748-750. Ref.: https://goo.gl/ysGBXA
  5. Van Herden JA, Beahrs OH, Woolner LB. The pathology and surgical management of primary Hyperparathyroidism. Surg Clin North Am. 1977; 57: 557-563. Ref.: https://goo.gl/3Paixh
  6. Colucci PG, Schweitzer AD, Saab J, Lavi E, Chazen JL. Imaging findings of spinal brown tumors: a rare but important cause of pathologic fracture and spinal cord compression. Clin Imaging. 2016; 40: 865-869. Ref.: https://goo.gl/V1KAWK
  7. Lim CY, Ong KO. Imaging of musculoskeletal lymphoma. Cancer Imaging. 2013; 13: 448-457. Ref.: https://goo.gl/oPML32
  8. Murphey MD, Andrews CL, Flemming DJ, Temple HT, Smith WS, et al. From the archives of the AFIP. Primary tumors of the spine: radiologic pathologic correlation. Radiographics. 1996; 16: 1131-1158. Ref.: https://goo.gl/8uN6q8
  9. Hsu CH, Liew PL, Wang W, Leung TK, Yang KM. Enhanced FDG uptake in brown tumors mimics multiple skeletal metastases in a patient with primary hyperparathyroidism. Acta Radiol. 2008; 49: 949-950. Ref.: https://goo.gl/v1NwL5
  10. Bloem JL, Reidsma II. Bone and soft tissue tumors of hip and pelvis. Eur J Radiol. 2012; 81: 3793-3801. Ref.: https://goo.gl/iTQDW1
  11. Fargen KM, Lin CS, Jeung JA, Yachnis AT, Jacob RP, et al. Vertebral brown tumors causing neurologic compromise. World Neurosurg. 2013; 79: 1-6. Ref.: https://goo.gl/o28pwf
  12. Silverberg SJ, Lewiecki EM, Mosekilde L, Peacock M, Rubin MR. Presentation of asymptomatic primary hyperparathyroidism: proceedings of the third international workshop. J Clin Endocrinol Metab. 2009; 94: 351-365. Ref.: https://goo.gl/n8PE2w

Figures:

Figure 1

Figure 1

Figure 1

Figure 2

Figure 1

Figure 3

Figure 1

Figure 4

Figure 1

Figure 5

Figure 1

Figure 6

Figure 1

Figure 7

Figure 1

Figure 8

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More