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C-1481 - The BROWNS !!  Common Accomplice of Pains, Moans and Groans :Brown Tumors  of Primary Hyperparathyroidism Demystified

R. S. V. Vadapalli1, A. Jain2, A. Vadapalli1, K. R. Harsha Vardhana3, M. Vadapalli1, P. Vadapalli4; 1 Hyderabad/IN 2 hyderabad/IN 3 Hyderabad AP NIMS/IN 4 Hyderabad 500020/IN Type: Educational Exhibit
Area of Interests: Musculoskeletal bone, Thyroid / Parathyroids, Bones
Imaging Techniques: PET-CT, MR, CT
Procedures: Education, Laboratory tests, Diagnostic procedure
Special Focuses: Endocrine disorders, Calcifications / Calculi, Neoplasia
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Learning objectives: To demonstrate the Multi-Modality Imaging features of  Brown tumors of Primary  Hyperparathyroidism.   To highlight spectrum of associated skeletal manifestations in Primary Hyperparathyroidism.

Background:   Brown tumors are focal bone lesions, caused by increased osteoclastic activity and fibroblastic proliferation, encountered in patients with uncontrolled hyperparathyroidism (HPT). They can be located in any part of the skeleton, but are most frequently encountered in the ribs, clavicles, extr[...]

Findings and procedure details: The Radio-Pathology correlates  of Brown Tumors are described with differential diagnosis. Plain Radiography,CT,MRI features of Brown tumors and associated findings in Primary HPT are elucidated.        Brown tumour (also known as osteitis fibrosa cystica or [...]

Conclusion: This exhibit serves as a resource for Imaging of Brown tumors what a resident must know.  

Personal information:

References: Van Herden JA, Beahrs OH, Woolner LB. The pathology and surgical management of primary Hyperparathyroidism. Surg Clin North Am.1977;57:557–63.2.   Hsu CH, Liew PL, Wang W, Leung TK, Yang KM. Enhanced FDG uptake in brown tumors mimics multiple skeletal metastases in a patient with primary h[...]

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