Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report
We report a case of end-stage renal failure in a patient who presented with acute cord compression and extensive brown tumour involving the spine, distal femur and patella. Brown tumours of the long bone, spine and pelvis have been documented previously. However, the occurrence of brown tumour in se...
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Format: | Article |
Language: | English |
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Malaysian Orthopaedic Association
2011-03-01
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Series: | Malaysian Orthopaedic Journal |
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Online Access: | http://morthoj.org/2011v5n1/Extensive_Brown_Tumors.pdf |
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author | TH Low LB Saw MK Kwan CYW Chan AS Deepak |
author_facet | TH Low LB Saw MK Kwan CYW Chan AS Deepak |
author_sort | TH Low |
collection | DOAJ |
description | We report a case of end-stage renal failure in a patient who presented with acute cord compression and extensive brown tumour involving the spine, distal femur and patella. Brown tumours of the long bone, spine and pelvis have been documented previously. However, the occurrence of brown tumour in sesamoid bones such as the patella is extremely rare and is indicative of widespread lesions and severe secondary hyperparathyroidism. These tumours typically respond poorly to medical treatment alone. The acute cord compression by spinal brown tumour necessitated urgent surgical decompression while the other lesions were treated with medical treatment and surgical parathyroidectomy. |
first_indexed | 2024-12-16T16:58:44Z |
format | Article |
id | doaj.art-52da1b9d0dc442ac8fcdc1d99e86f85e |
institution | Directory Open Access Journal |
issn | 1985-2533 |
language | English |
last_indexed | 2024-12-16T16:58:44Z |
publishDate | 2011-03-01 |
publisher | Malaysian Orthopaedic Association |
record_format | Article |
series | Malaysian Orthopaedic Journal |
spelling | doaj.art-52da1b9d0dc442ac8fcdc1d99e86f85e2022-12-21T22:23:49ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332011-03-01516062Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case ReportTH Low0LB Saw1MK Kwan2CYW Chan3AS Deepak4MS Orth (UM)MS Orth (UM)MS Orth (UM)MS Orth (UM)FRCSWe report a case of end-stage renal failure in a patient who presented with acute cord compression and extensive brown tumour involving the spine, distal femur and patella. Brown tumours of the long bone, spine and pelvis have been documented previously. However, the occurrence of brown tumour in sesamoid bones such as the patella is extremely rare and is indicative of widespread lesions and severe secondary hyperparathyroidism. These tumours typically respond poorly to medical treatment alone. The acute cord compression by spinal brown tumour necessitated urgent surgical decompression while the other lesions were treated with medical treatment and surgical parathyroidectomy.http://morthoj.org/2011v5n1/Extensive_Brown_Tumors.pdfBrown TumourOsteoclastomaRenal FailureMyelopathy |
spellingShingle | TH Low LB Saw MK Kwan CYW Chan AS Deepak Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report Malaysian Orthopaedic Journal Brown Tumour Osteoclastoma Renal Failure Myelopathy |
title | Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report |
title_full | Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report |
title_fullStr | Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report |
title_full_unstemmed | Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report |
title_short | Extensive Brown Tumors of Spine, Distal femur and Patella Presenting with Acute Cord Compression. A Case Report |
title_sort | extensive brown tumors of spine distal femur and patella presenting with acute cord compression a case report |
topic | Brown Tumour Osteoclastoma Renal Failure Myelopathy |
url | http://morthoj.org/2011v5n1/Extensive_Brown_Tumors.pdf |
work_keys_str_mv | AT thlow extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport AT lbsaw extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport AT mkkwan extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport AT cywchan extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport AT asdeepak extensivebrowntumorsofspinedistalfemurandpatellapresentingwithacutecordcompressionacasereport |