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Rivista Italiana di Chirurgia Maxillo-Facciale 2002 December;13(3):187-90

language: English

A maxillary radiolucency in a hemodialized patient

Friscia M. 1, Zupi A. 1, Mignogna M. M. 2, Pavone E. 1, Califano L. 1

1 Department of Maxillofacial Surgery, School of Medicine ­and Surgery, Federico II University of Naples, Naples, Italy
2 Division of Oral Medicine School of Dentistry Federico II University of Naples, Naples, Italy


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Brown ­tumours ­are ­well ­known ­bone ­lesions com­pli­cat­ing chron­ic ­renal fail­ure. They ­are relat­ed to alter­a­tion ­and reduc­tion of vita­min D metab­olism ­and sec­on­dary hyper­pa­rath­yr­oi­dism, ­and com­mon­ly ­affect man­dible clav­i­cle, ­ribs ­and pel­vis. Different ther­a­peu­tic ­options of ­jaw ­lesions ­have ­been report­ed includ­ing sur­gery, chem­o­ther­a­py ­and radio­ther­a­py. We ­describe a ­case of a 71-­year-­old hemo­di­al­ized ­female ­patient affect­ed by a hyper­pa­rath­yr­oi­dism-relat­ed ­brown ­tumour of ­the max­il­la treat­ed ­with sur­gery. Furthermore, we under­line dif­fe­ren­tial diag­no­sis of radio­lu­cent ­jaw ­lesions ­and treat­ment ­options.

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