PMC3505895_01
Radiographs of pathological subtrochanteric fracture of right femur.
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Radiographs confirmed a subtrochanteric fracture of her femur through an area of lytic bone (Figure 1).
Reconstruction intramedullary nail right femur.
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Surgical intervention was conducted for the pathologic fracture: the patient underwent closed intramedullary reconstruction nailing of her femur with bipolar static locking (Figure 2).
Histopathological examination showing giant cells mixed with mononuclear cells devoid of atypia consisting with hyperparathyroidism (high magnification).
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She made an uncomplicated recovery from surgery and the histological findings confirmed the diagnosis of hyperparathyroidism with brown tumor (Figure 3).
Radiograph of the left femur showing multiple lytic lesions.
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Additional radiographs showed asymptomatic lytic lesions in the left femur (Figure 4).