AI Article Synopsis
- A 34-year-old woman presented symptoms such as right orbital elevation, retrobulbar pain, and cheek anesthesia, which led to imaging that suggested a maxillary sinus mucocele.
- Laboratory tests revealed primary hyperparathyroidism, leading to surgery where the mass was initially mistaken for a mucocele, but later confirmed as a brown tumor through histological examination.
- This case is significant as it is the first documented instance of a cystic brown tumor mimicking a maxillary sinus mucocele, highlighting the need for careful diagnosis in similar cases.
Article Abstract
We describe the first case of brown tumor mimicking a maxillary sinus mucocele as the first manifestation of the patient's primary hyperparathyroidism. A 34-year old woman presented with a 14 days history of elevation of the right orbit, retrobulbar pain and cheek anesthesia. The CT and MR evaluation showed a mass, initially described as mucocele of the right maxillary sinus. The laboratory studies revealed hyperparathyroidism. The patient underwent acute surgery, and the mass appeared clinically as mucocele. The histological examination of the resected lesion revealed changes representing either giant cell granuloma or brown tumor. The finding of hyperparathyroidism confirmed the diagnosis of brown tumor. To our knowledge, this is the first report of cystic brown tumor mimicking a mucocele of the maxillary sinus.
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| http://dx.doi.org/10.1016/j.anl.2011.06.008 | DOI Listing |
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