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Huge Chest Wall Mass Caused by Brown Tumor-A Case Report

棕色瘤造成的巨大胸壁腫塊-病歷報告

摘要


胸壁腫塊合併夜間骨痛和體重減輕則惡性腫瘤的可能性很高。棕色瘤是一種副甲狀腺亢進所造成的良性狀況,在胸腔的表現並不多見,一般容易被誤認為腫瘤轉移。我們報告一個病例:原發性副甲狀腺機能亢進引發的右側巨大胸壁棕色瘤合併夜晚明顯胸骨疼痛的症狀。經右側副甲狀腺手術切除後,在後續追蹤的胸腔X光和核醫副甲狀腺掃描,右側胸壁的腫瘤逐漸縮小。病理報告證實為副甲狀腺癌。

並列摘要


A chest wall mass with night bone pain and body weight loss may be highly malignant. Brown tumors are benign and rare chest manifestations of hyperparathyroidism that may mimic cancer metastasis. Herein, we present a rare case of a huge brown tumor on the right chest wall with chest bone pain at night as the presenting symptom of primary hyperparathyroidism. After right parathyroidectomy, the right chest wall mass gradually shrank, as displayed on follow-up chest X-rays and nuclear parathyroid scans. The pathology report showed parathyroid carcinoma.

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