Abstract

Primary hyperparathyroidism is characterized by excessive operation of one or more parathyroid glands, leading to an increased production of parathyroid hormone in circulation, which is the main cause of hypercalcemia. In almost all cases, hyperfunction of the gland is caused by adenoma (benign tumor) or by parathyroid hyperplasia (swelling) of the gland. It is rarely caused by malignant tumors. Patient VCFSP , female, 33, came to the Clinic of Semiology at the Dentistry College at UNIARARAS, with increased swelling in the gums. The intraoral examination showed masking in gutter area in the following regions: 24-25, 33-34 and 42-43. All consistency bone lesions covered with normal mucosa. Radiographic examination showed radiolucent lesions in their respective areas. Incisional biopsy was performed, resulting in giant cell granuloma. With the diagnosis hypothesis of Hyperparathyroidism, PTH dosage was requested, with results of 242 pg/ml, and CT with frosted glass image observed in the referred areas. The patient was sent to the medical clinic and underwent surgery to remove the parathyroid glands. After 5 months, the patient returned with remission of the lesion.

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