上頜竇棕色腫瘤

Brown Tumor in Maxillary Sinus

邱盛璋(Sheng-Chang Chiu) ； 陳穆寬(Mu-Kuan Chen)

《台灣耳鼻喉頭頸外科雜誌》 46卷3期 (2011/07) Pp. 176-178

https://doi.org/10.6286/2011.46.3.176

摘要

棕色腫瘤是一種不常見的局部性巨大細胞病灶，通常發生於副甲狀腺機能亢進的病人，主要由於過多的副甲狀腺賀爾蒙作用在病人的骨頭上。本病例報告1名28歲女性，主訴左半顏面劇烈疼痛3個多月，患者先至神經內科接受三叉神經痛治療但無效，隨後核磁共振檢查發現左邊上頜竇內有一明顯腫塊，於是轉介至耳鼻喉頭頸科。切片檢查爲巨大細胞肉芽腫，之後接受內視鏡腫瘤切除術，病理組織報告爲棕色腫瘤。病患接受甲狀腺超音波檢查，發現左下副甲狀腺有一3.6×1.2×1.2 cm之腫塊，患者再進行副甲狀腺切除術。術後患者症狀獲得改善，且無其他併發症發生。

關鍵字

棕色腫瘤 ； 上頜骨 ； 副甲狀腺

並列摘要

Brown tumors are uncommon focal giant cell lesions. They usually occur in hyperparathyroidism. Brown tumors are resulting from abnormal bone metabolism in hyperparathyroidism. We report that a 28-year-old woman who initially presented with left facial pain for three months. First, the patient accepted medical treatment but the symptom was not improved. MRI was arranged for the patient and the report showed a mass in the left maxillary sinus. Tumor biopsy was suggested at Department of Otorhinolaryngology, Head and Neck Surgery. The pathology showed a giant cell granulation. So, the patient was arranged to operate and the tumor was excised by endoscopy. The pathology showed brown tumors. The thyroid echo showed a 3.6×1.2×1.2 cm parathyroid mass. The patient underwent parathyroidectomy. Postoperatively, her symptoms had improved and no other complications occurred.

並列關鍵字

brown tumor ； maxilla bone ； parathyroid