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==Epidemiology== ==Epidemiology==
Lesions are common in both the genders and become more vulnerable with age. However, it may be noted that hyperparathyroidism with bone disease has become rare as there is increased use of screening laboratory examinations. In the less developed nations, there may be still many patients with hyperparathyroidism and other advanced bone diseases. <ref>http://www.bonetumor.org/tumors-disorder-metabolism/brown-tumor</ref> Age and gender have an effect on the incidence of these lesions; they are more prevalent in women than men (though still common in both genders), and they appear more frequently with age. Due to the standard of medical care and screening in developed countries, it is increasingly rare for primary hyperparathyroidism to present with accompanying bone disease. This is not the case in less developed nations, however, and the two conditions are more often seen together.<ref>http://www.bonetumor.org/tumors-disorder-metabolism/brown-tumor</ref>


==See also== ==See also==

Revision as of 20:13, 14 January 2015

Medical condition
Brown tumor

The brown tumor is a bone lesion that arises in settings of excess osteoclast activity, such as hyperparathyroidism. It is not a true neoplasm, as the term "tumor" suggests; however, it may mimic a true neoplasm. Brown tumours are radiolucent on x-ray.

Pathology

Micrograph of a brown tumor (left of image). H&E stain.

Brown tumours consist of fibrous tissue, woven bone and supporting vasculature, but no matrix. The osteoclasts consume the trabecular bone that osteoblasts lay down and this front of reparative bone deposition followed by additional resorption can expand beyond the usual shape of the bone, involving the periosteum thus causing bone pain. The characteristic brown coloration results from hemosiderin deposition into the osteolytic cysts. Hemosiderin deposition is not a distinctive feature of brown tumors; it may also be seen giant cell tumors of the bone.

Brown tumors may be rarely associated with ectopic parathyroid adenomas.

Epidemiology

Age and gender have an effect on the incidence of these lesions; they are more prevalent in women than men (though still common in both genders), and they appear more frequently with age. Due to the standard of medical care and screening in developed countries, it is increasingly rare for primary hyperparathyroidism to present with accompanying bone disease. This is not the case in less developed nations, however, and the two conditions are more often seen together.

See also

References

  1. Meydan N, Barutca S, Guney E; et al. (June 2006). "Brown tumors mimicking bone metastases". J Natl Med Assoc. 98 (6): 950–3. PMC 2569361. PMID 16775919. {{cite journal}}: Explicit use of et al. in: |author= (help)CS1 maint: multiple names: authors list (link)
  2. Aoki, J.; Moriya, K.; Yamashita, K.; Fujioka, F.; Ishii, K.; Karakida, O.; Imai, S.; Sakai, F.; et al. (1991). "Giant cell tumors of bone containing large amounts of hemosiderin: MR-pathologic correlation". J Comput Assist Tomogr. 15 (6): 1024–7. doi:10.1097/00004728-199111000-00023. PMID 1939753.
  3. Matsushige, T.; Nakaoka, M.; Yahara, K.; Kagawa, K.; Miura, H.; Ohnuma, H.; Kurisu, K. (Aug 2008). "Giant cell tumor of the temporal bone with intratumoral hemorrhage". J Clin Neurosci. 15 (8): 923–7. doi:10.1016/j.jocn.2007.03.013. PMID 18554912.
  4. Sharma, Ravi; Mathan Mohan; R S Neelakandan; D Siddharth (October 2013). "An unusual case of brown tumor of hyperparathyroidism associated with ectopic parathyroid adenoma". European Journal of Dentistry. 7 (4): 500–503. doi:10.4103/1305-7456.120657. Retrieved 2013-10-28.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  5. http://www.bonetumor.org/tumors-disorder-metabolism/brown-tumor
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