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Journal of the Korean Society for Surgery of the Hand 2006;11(1):66-71.
Published online March 1, 2006.
A Brown Tumor in Metacarpal Bone Accompanied with Primary Hyperparathyroidism - A Case Report -
Duke Whan Chung, Chung Soo Han, Jun Young Park, Sun Teak Jeong
원발성 부갑상선 기능 항진증에 동반된 수지 중수골의 갈색 세포종 - 1예 보고 -
정덕환, 한정수, 박준영, 정선택
Abstract
Brown tumor or osteitis cystica fibrosa is one of the skeletal manifestations of primary or secondary hyperparathyroidism and rare in hand. Essentially, brown tumors are benign and treated conservatively after surgical treatment of parathyroid lesion, but sometimes surgical treatment is indicated when the lesion is located in a problematic site. In this case, simultaneous parathyroidectomy with local surgery can be safely performed to correct the underlying endocrinopathy and associated painful pathologic fracture, thereby improving the orthopaedic outcome. We report one case of brown tumor of left 5th metacarpal bone associated with primary hyperparathyroidism in 47-year-old female patient who treated with simultaneous parathyroidectomy and orthopaedic surgery and could gain earlier recovery of hand function.
 


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