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  • Title: Primary hyperparathyroidism presenting with a maxillary tumour and hydrocephalus.
    Author: Robinson PJ, Woodhead P.
    Journal: J Laryngol Otol; 1988 Dec; 102(12):1164-7. PubMed ID: 3225532.
    Abstract:
    Primary hyperparathyroidism presenting with advanced bone disease is an important differential diagnosis of 'tumours' affecting the craniofacial skeleton. We describe a case of primary hyperparathyroidism presenting with a brown tumour of the maxilla causing local symptoms. Differentiation from other giant cell lesions of the maxilla is necessary. The histological and radiological features of brown tumour, non-ossifying fibroma and reparative granuloma are all similar. Differentiation relies on plasma calcium estimation and the diagnosis of hyperparathyroidism is confirmed by serum parathyroid hormone assay.
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