Weekly Case

Title : Case 770

Age / Sex : 20 / F


Chief complaint : Left metacarpal area mass (Onset : ?)


What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer).

Courtesy: 이선화(Lee Sunhwa), 고려대학교 안암병원(Korea University Anam Hospital)


Diagnosis:

Brown tumor (Parathyroid adenoma, PTH : 978 pg/mL)



Discussion


Findings

1.Diffuse osteoporosis with subperiosteal bone resorption.


2.Multiple bony expansile osteolytic lesions with or without fracture.


3.Salt and pepper sign in skull.


4.Mixed solid and cystic mass with hemorrhage in humerus lesion.


References
McDonald DK et al., primary hyperparathyroidism due to parathyroid adenoma, RadioGraphics 2005;25(3):829–834.
Chang CY et al., Imaging findings of metabolic bone disease, RadioGraphics 2016;36(6):1871–1887.
Xie C et al., Imaging of Brown Tumours: A Pictorial Review. Insights Imaging 2019;10:75. doi: 10.1186/s13244-019-0757-z.
Hong WS et al., Emphasis on the MR imaging findings of brown tumor: a report of five cases. Skeletal Radiol 2011 Feb;40(2):205-13



Correct Answer
Total applicants 49 Correct answers 15
Name Institution
이규정 국군대전병원, 전문의
박진희 전문의
강지희 전문의
김민지 전문의
윤유성 순천향대 부천병원, 전문의
손우곤 양산부산대학교병원, 전공의
원희수 동국대일산, 전공의
최영재 동국대학교 일산병원, 전공의
송이랑 전문의
최은지 서울아산병원, 전공의
권기언 전문의
이혜란 전문의
김성진 365병원, 전문의
권은영 전문의
문지혜 전문의


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