title: Giant cell tumours of the maxilla and tibia presenting concurrently as an initial manifestation of primary parathyroid adenoma.
abstract: A 14 years female of Afghan origin reported with maxillofacial and tibia growths causing progressive deformities since nine months, both were giant cell tumours on histopathology. Serum calcium was normal, but the parathyroid hormone was exaggerated (678 pg/ml). Ultrasound indicated and Tc-99m Setamibi scan confirmed a left lower parathyroid lesion. A 4cm length mass was identified, removed and proved to be a parathyroid adenoma. Two weeks later a subtotal maxillectomy and six weeks later anterior wedge osteotomy of the tibia were carried out. Serum parathyroid hormone level normalized.
authors.affiliation: Ziauddin Medical University, Aga Khan University Hospital, Karachi.
authors.forename: Syed Wajahat Hussain
authors.initials: SW
authors.lastname: Wasty
authors.forename: Khalid
authors.initials: K
authors.lastname: Iqbal
authors.forename: Mirza Rahman
authors.initials: MR
authors.lastname: Beg
authors.forename: Khalid Hussain
authors.initials: KH
authors.lastname: Mahida
authors.forename: Ghulam
authors.initials: G
authors.lastname: Ali
authors.forename: Mohammad
authors.initials: M
authors.lastname: Tariq
mesh_terms: D000236:Adenoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D000293:Adolescent; D002118:Calcium / Q000097:blood; D005260:Female; D018212:Giant Cell Tumor of Bone / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008437:Maxilla / Q000473:pathology / Q000601:surgery; D010280:Parathyroid Glands / Q000473:pathology / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013977:Tibia / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D002118:Calcium