続発性副甲状腺機能亢進症に関連した顎顔面骨の線維性異形成症の1例 Fibrous dysplasia of the maxillofacial bones associated with secondary hyperparathyrodism : report of a case

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著者

    • 原田 雅史 HARADA Masashi
    • 医療法人渓仁会手稲渓仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Teine Keijinkai Hospital
    • 関口 隆 SEKIGUCHI Takashi
    • 医療法人渓仁会手稲渓仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Teine Keijinkai Hospital
    • 川村 信五 KAWAMURA Shingo
    • 医療法人渓仁会手稲渓仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Teine Keijinkai Hospital
    • 野口 誠 NOGUCHI Makoto
    • 札幌医科大学医学部口腔外科学講座 Department of Oral Surgery, Sapporo Medical University School of Medicine

抄録

It is well known that secondary hyperparathyroidism (secondary HPT) systemically induces fibrous dysplasia (FD) in bone throughout the body. However, FD commonly occurs in a single bone and rarely extends to the maxillofacial bones. We describe, a case of FD that widely extended to the maxillofacial bones and caused facial deformity, associated with secondary HPT.<BR>A 66-year-old woman was referred to our clinic because of facial deformity characterized by bilateral enlargement of the maxilla, the zygoma, and the mandible. The patient had bee receiving regular hemodialysis therapy for 9 years because of chronic renal failure. The enlargement was hard and not tender on palpation. The hard palate was pushed down and flattened. X-ray computed tomographic examination revealed a diffuse radiopaque area in the maxillofacial bones, and a marked cotton-wool appearance in the mandible. A biopsy of the mandible was performed, and the pathological diagnosis was FD. To reduce the lesion, surgical resection of the mandible and of the maxilla and zygoma was performed. There was no evidence of regrowth of the lesion 1 year month after surgery. Full dentures were able to be successfully used. Furthermore, the patient is satisfied with the improved appearance of her face.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 49(4), 291-294, 2003-04-20

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10012629175
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  J-STAGE 
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