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World J Clin Cases. Mar 6, 2024; 12(7): 1200-1204
Published online Mar 6, 2024. doi: 10.12998/wjcc.v12.i7.1200
Expect the unexpected: Brown tumor of the mandible as the first manifestation of primary hyperparathyroidism
Ana Majic Tengg, Maja Cigrovski Berkovic, Ivan Zajc, Ivan Salaric, Danko Müller, Iva Markota
Ana Majic Tengg, Department of Endocrinology, Diabetes, Metabolic Diseases and Clinical Pharmacology, Clinical Hospital Dubrava, Zagreb 10000, Croatia
Maja Cigrovski Berkovic, Department for Sport and Exercise Medicine, Faculty of Kinesiology University of Zagreb, Zagreb 10000, Croatia
Ivan Zajc, Ivan Salaric, Department of Oral Surgery, Clinical Hospital Dubrava, Zagreb 10000, Croatia
Ivan Zajc, Ivan Salaric, University of Zagreb School of Dental Medicine, Zagreb 10000, Croatia
Danko Müller, Iva Markota, Clinical Department of Pathology and Cytology, Clinical Hospital Dubrava, Zagreb 10000, Croatia
Author contributions: Majic Tengg A designed the study, participated in the acquisition of data, and drafted the manuscript; Cigrovski Berković M made substantial contributions to the conception of the study and revised the manuscript critically; Zajc I, Salaric I, Müller D and Markota I participated in the acquisition of data and drafting of the manuscript.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed by the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Maja Cigrovski Berkovic, MD, Adjunct Associate Professor, Department for Sport and Exercise Medicine, Faculty of Kinesiology University of Zagreb, Horvacanski zavoj 15, Zagreb 10000, Croatia. maja.cigrovskiberkovic@gmail.com
Received: October 18, 2023
Peer-review started: October 18, 2023
First decision: January 2, 2024
Revised: January 10, 2024
Accepted: February 5, 2024
Article in press: February 5, 2024
Published online: March 6, 2024
Core Tip

Core Tip: Clinicians should consider a brown tumor in hyperparathyroidism as a differential diagnosis of lytic bone lesions, after excluding more common causes such as metastatic carcinoma or multiple myeloma. A wide number of specialties should be aware of signs and symptoms of a brown tumor in hyperparathyroidism, including internal medicine specialists, orthopaedists, and radiologists, while dentists and oral surgeons should be aware of oral manifestations of systemic diseases.