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Spontaneous and Excellent Healing of Bilateral Brown Tumors in Mandible after Endocrinal Therapy and Subtotal Parathyroidectomy: Case Report with 4-Year Follow-Up

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Date
2018-01-01
Authors
YÜCESOY, TÜRKER
KILIÇ, ERDEM
DOĞRUEL, FATMA
BAYRAM, FAHRİ
ALKAN, ALPER
AKCAN, Alper Celal
ÖZTÜRK, FİGEN
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Abstract
Primary hyperparathyroidism is an endocrine disorder occurring due to increased secretion of parathormone resulting in a complex of clinical, anatomical, and biochemical alterations. On the other hand, excision of a parathyroid adenoma can normalize the metabolic status. A 24-year-old man was referred to the hospital with bilateral swelling and spontaneous gingival bleeding from posterior of the mandible also with radiolucent well-demarcated lesions bilaterally in the mandibular third molar regions. After consultations, the patient was hospitalized in the endocrinology department where further tests were performed due to highly increased PTH level as 714 pg/ml. Bilateral brown tumors started to regress spontaneously, and no additional surgery was required after subtotal parathyroidectomy was performed. The presented case is the first patient whose bilateral brown tumors in the jaws spontaneously and totally healed after subtotal parathyroidectomy and endocrinal therapy who was strictly followed up for 4 years even though the lesions were associated with impacted third molars.
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Keywords
Tumor, Subtotal Parathyroidectomy
Citation
YÜCESOY T., KILIÇ E., DOĞRUEL F., BAYRAM F., ALKAN A., AKCAN A. C. , ÖZTÜRK F., -Spontaneous and Excellent Healing of Bilateral Brown Tumors in Mandible after Endocrinal Therapy and Subtotal Parathyroidectomy: Case Report with 4-Year Follow-Up-, CASE REPORTS IN DENTISTRY, 2018
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