title: Mandibular Brown Tumor of Secondary Hyperparathyroidism Requiring Extensive Resection: A Forgotten Entity in the Developed World?
abstract: Brown tumor of hyperparathyroidism (BTHPT) is rare in the United States and not frequently seen in clinical practice. This is likely because early diagnosis and prompt treatment of this disease process prevent the progression and development of BTHPT. Conversely, BTHPT is more common in underdeveloped countries where fewer patients have access to health care and hyperparathyroidism (HPT) goes untreated. It has been reported that the incidence of BTHPT in underdeveloped countries can be as high as 58 to 69 percent in patients with primary HPT. We present a case report of a patient in the United States with a large mandibular BTHPT requiring an extensive resection in the setting of secondary HPT. Despite being rare in this country, it is important for nephrologists, primary care physicians, and oral health care providers to be able to recognize this entity, so that intervention may be rendered early.
authors.affiliation: Oral-Head & Neck Oncology/Microvascular Surgery, Department of Oral-Maxillofacial Surgery & Pathology and Department of Otolaryngology, Cancer Institute, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Qaisi
authors.affiliation: School of Dentistry, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Loeb
authors.affiliation: Oral & Maxillofacial Pathology, Department of Oral-Maxillofacial Surgery & Pathology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Montague
authors.affiliation: Oral & Maxillofacial Surgery, Department of Oral-Maxillofacial Surgery & Pathology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
authors.forename: Ron
authors.initials: R
authors.lastname: Caloss