Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying Fibroma

Tumor-induced osteomalacia (TIO) is a rare, paraneoplastic disorder of hypophosphatemia associated with elevated tumor-produced fibroblast growth factor 23 (FGF23). Maxillofacial tumors are rarely involved in TIO, especially maxillary TIO in children. We present a 14-year-old boy with osteomalacia a...

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Main Authors: Ha Nguyen Thi, Cuong Pham Manh, Linh To Tuan, Lan Anh Le Thi, Nam Nguyen Thanh, Soamarat Vilaiyuk
Format: Article
Language:English
Published: Galenos Yayincilik 2023-12-01
Series:JCRPE
Subjects:
Online Access:https://jcrpe.org/jvi.aspx?un=JCRPE-78941&volume=15&issue=4
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author Ha Nguyen Thi
Cuong Pham Manh
Linh To Tuan
Lan Anh Le Thi
Nam Nguyen Thanh
Soamarat Vilaiyuk
author_facet Ha Nguyen Thi
Cuong Pham Manh
Linh To Tuan
Lan Anh Le Thi
Nam Nguyen Thanh
Soamarat Vilaiyuk
author_sort Ha Nguyen Thi
collection DOAJ
description Tumor-induced osteomalacia (TIO) is a rare, paraneoplastic disorder of hypophosphatemia associated with elevated tumor-produced fibroblast growth factor 23 (FGF23). Maxillofacial tumors are rarely involved in TIO, especially maxillary TIO in children. We present a 14-year-old boy with osteomalacia and high serum levels of FGF23, a hormone associated with decreased phosphate resorption, due to a maxillary tumor. The patient was treated with oral phosphorus and calcitriol, and surgical removal of the tumor was performed. After 21 months follow-up, he was pain free and had returned to full activity. We review the reported pediatric cases of TIO in the maxillofacial and oral region and discuss the management of these patients considering the published evidence.
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spelling doaj.art-9e23d77a3b0a4dcdac7b8df2ae41feb92023-11-28T07:05:32ZengGalenos YayincilikJCRPE1308-57271308-57352023-12-0115442142510.4274/jcrpe.galenos.2022.2021-8-14Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying FibromaHa Nguyen Thi0https://orcid.org/0000-0003-0467-2499Cuong Pham Manh1https://orcid.org/0000-0001-5358-4642Linh To Tuan2https://orcid.org/0000-0003-3609-4814Lan Anh Le Thi3https://orcid.org/0000-0002-8268-7912Nam Nguyen Thanh4https://orcid.org/0000-0002-7622-7530Soamarat Vilaiyuk5https://orcid.org/0000-0003-2331-9711Hanoi Medical University, Bach Mai Hospital, Clinic of Pediatrics, Hanoi, VietnamBach Mai Hospital, Diagnostic Imaging Central, Hanoi, VietnamViet Duc Hospital, Maxillofacial, Department of Plastic and Aesthetic Surgery, Hanoi, VietnamHanoi Medical University, Bach Mai Hospital, Clinic of Pediatrics, Hanoi, VietnamBach Mai Hospital, Clinic of Pediatrics, Hanoi, VietnamMahidol University Faculty of Medicine; Ramathibodi Hospital, Department of Pediatrics, Division of Rheumatology, Bangkok, ThailandTumor-induced osteomalacia (TIO) is a rare, paraneoplastic disorder of hypophosphatemia associated with elevated tumor-produced fibroblast growth factor 23 (FGF23). Maxillofacial tumors are rarely involved in TIO, especially maxillary TIO in children. We present a 14-year-old boy with osteomalacia and high serum levels of FGF23, a hormone associated with decreased phosphate resorption, due to a maxillary tumor. The patient was treated with oral phosphorus and calcitriol, and surgical removal of the tumor was performed. After 21 months follow-up, he was pain free and had returned to full activity. We review the reported pediatric cases of TIO in the maxillofacial and oral region and discuss the management of these patients considering the published evidence.https://jcrpe.org/jvi.aspx?un=JCRPE-78941&volume=15&issue=4tumor-induced osteomalaciafibroblast growth factor-23maxillachildren
spellingShingle Ha Nguyen Thi
Cuong Pham Manh
Linh To Tuan
Lan Anh Le Thi
Nam Nguyen Thanh
Soamarat Vilaiyuk
Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying Fibroma
JCRPE
tumor-induced osteomalacia
fibroblast growth factor-23
maxilla
children
title Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying Fibroma
title_full Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying Fibroma
title_fullStr Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying Fibroma
title_full_unstemmed Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying Fibroma
title_short Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying Fibroma
title_sort tumor induced osteomalacia in a boy with maxillary ossifying fibroma
topic tumor-induced osteomalacia
fibroblast growth factor-23
maxilla
children
url https://jcrpe.org/jvi.aspx?un=JCRPE-78941&volume=15&issue=4
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AT linhtotuan tumorinducedosteomalaciainaboywithmaxillaryossifyingfibroma
AT lananhlethi tumorinducedosteomalaciainaboywithmaxillaryossifyingfibroma
AT namnguyenthanh tumorinducedosteomalaciainaboywithmaxillaryossifyingfibroma
AT soamaratvilaiyuk tumorinducedosteomalaciainaboywithmaxillaryossifyingfibroma