Delayed diagnosis of primary hyperparathyroidism in a patient with osteoclastoma.
Ortop Traumatol Rehabil
; 13(5): 505-10, 2011.
Article
em En, Pl
| MEDLINE
| ID: mdl-22147439
ABSTRACT
Primary hyperparathyroidism (HPTo) nowadays is most often recognized incidentally in the asymptomatic period as a result of biochemical screening or evaluation of low bone mass. Classical manifestations of the disease are present in about 15-20% of patients. We present the case of a 28-year-old male patient who had been treated for two years for osteoclastoma of the proximal tibia, first by intralesional curettage with cement filling followed by bone grafting, and finally with a reconstructive arthroplasty of the knee joint. The patient had been consulted in different medical centers by at least 14 doctors representing 9 different specialties, but the correct diagnosis of HPTo had not been made, although classic manifestations of the disease had been present for 5-6 years. This suggests that a diagnosis of HPTo is difficult nowadays. Therefore, determination of serum calcium concentration and other markers of calcium and phosphate metabolism should be obligatory in patients with bone lesions.
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Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
/
Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Ósseas
/
Reabsorção Óssea
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Tumor de Células Gigantes do Osso
/
Hiperparatireoidismo Primário
/
Diagnóstico Tardio
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
/
Pl
Revista:
Ortop Traumatol Rehabil
Assunto da revista:
ORTOPEDIA
/
REABILITACAO
/
TRAUMATOLOGIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Polônia