Brown Tumour of the Premaxilla

Brown tumours of the head and neck region are rare. They occur in the setting of increased secretion of parathormone (PTH) from hyper functioning parathyroid glands. We describe a case of a brown tumour affecting the premaxilla in a middle aged lady. The presence of giant cells in the biopsy prompted a diagnosis of giant cell epulis. Raised levels of PTH clinched the diagnosis of brown tumour. Parathyroidectomy was performed which lead to symptom resolution.