Osteoblastoclastoma – a clinical mask of primary hyperparathyroidism
https://doi.org/10.18027/2224-5057-2017-1-26-29
Abstract
The analysis of cases of primary hyperparathyroidism was undertaken during 2010–2016 years. Determined that none of 18 patients, operated in the clinic, had visceral or kidney forms of hyperparathyroidism. All patients had bone form, manifesting pathological fractures, stimulating tumor growth or severe osteoporosis, in 14 patients the diagnosis was suspected from laboratory studies (parathyroid hormone, blood calcium, alkaline
phosphatase), upon further examination were found parathyroid adenoma. After surgical treatment, all patients recovered without recurrence and postoperative complications. In our cases, the most characteristic picture of hyperparathyroidism has X-ray examination of the skull bones, in the form of osteolysis or cystic bone reconstruction. It should be noted that primary hyperparathyroidism masked in some cases of osteoblastoma that often leads to misdiagnosis and wrong treatment strategy. These clinical manifestations of primary hyperparathyroidism make clinicians more cautious with this disease.
phosphatase), upon further examination were found parathyroid adenoma. After surgical treatment, all patients recovered without recurrence and postoperative complications. In our cases, the most characteristic picture of hyperparathyroidism has X-ray examination of the skull bones, in the form of osteolysis or cystic bone reconstruction. It should be noted that primary hyperparathyroidism masked in some cases of osteoblastoma that often leads to misdiagnosis and wrong treatment strategy. These clinical manifestations of primary hyperparathyroidism make clinicians more cautious with this disease.
About the Authors
V. Y. MYKHAYLICHENKO
Medical Academy named after S. I. Georgievskiy, the Federal State
Autonomous Educational Establishment of Higher Education «Crimean Federal University named after V. I. Vernadsky» Ministry of Education and Science of the Russian Federation
Russian Federation
MD, PhD, DSc, professor, the head of department general surgery
Russian Federation
MD, PhD, DSc, professor, the head of department general surgery
N. E. KARAKURSAKOV
Medical Academy named after S. I. Georgievskiy, the Federal State
Autonomous Educational Establishment of Higher Education «Crimean Federal University named after V. I. Vernadsky» Ministry of Education and Science of the Russian Federation
Russian Federation
MD, PhD, associate professor
Russian Federation
MD, PhD, associate professor
K. A. MIROSHNIK
Medical Academy named after S. I. Georgievskiy, the Federal State
Autonomous Educational Establishment of Higher Education «Crimean Federal University named after V. I. Vernadsky» Ministry of Education and Science of the Russian Federation
Russian Federation
aspirant
Russian Federation
aspirant
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Review
For citations:
MYKHAYLICHENKO V.Y., KARAKURSAKOV N.E., MIROSHNIK K.A. Osteoblastoclastoma – a clinical mask of primary hyperparathyroidism. Malignant tumours. 2017;(1):26-29. (In Russ.) https://doi.org/10.18027/2224-5057-2017-1-26-29
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