摘要

Brown tumor is rarely seen today, probably because routine serum chemical tests identify patients with primary hyperparathyroidism before this skeletal complication develops. It has the appearance of a well-circumscribed expansible lytic lesion of the bone and is difficult to differentiate from giant-cell bone tumor and aneurysmal bone cysts. We report a case of multiple brown tumor case, in which we did not make the diagnosis in the first hospitalization. Three days after discharge, the patient was called back because of a serum parathyroid hormone level of 1305 pg/mL (15-65 pg/mL). Curettage, bone grafting surgery, and subtotal parathyroidectomy were performed. After subtotal parathyroidectomy, histopathology confirmed the diagnosis of parathyroid hyperplasia.