Osteoblastoclastoma – a clinical mask of primary hyperparathyroidism

Abstract

The analysis of cases of primary hyperparathyroidism was undertaken during 2010–2016 years. Determined that none of 18 patients, operated in the clinic, had visceral or kidney forms of hyperparathyroidism. All patients had bone form, manifesting pathological fractures, stimulating tumor growth or severe osteoporosis, in 14 patients the diagnosis was suspected from laboratory studies (parathyroid hormone, blood calcium, alkaline phosphatase), upon further examination were found parathyroid adenoma. After surgical treatment, all patients recovered without recurrence and postoperative complications. In our cases, the most characteristic picture of hyperparathyroidism has X-ray examination of the skull bones, in the form of osteolysis or cystic bone reconstruction. It should be noted that primary hyperparathyroidism masked in some cases of osteoblastoma that often leads to misdiagnosis and wrong treatment strategy. These clinical manifestations of primary hyperparathyroidism make clinicians more cautious with this disease.