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Brown tumors tend to be uncommon. We report an uncommon case of fibrocystic osteitis associated with a parathyroid adenoma, which was discovered by opportunity as a result of a rib tumor. Unusually elevated serum parathyroid hormones and calcium ion were found before surgery. We suspected major hyperparathyroidism, and shade Doppler ultrasound proposed the current presence of a thyroid mass. With in
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