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A 20-year-old man who had had idiopathic end-stage renal failure since he was 12 years of age and who was undergoing dialysis once weekly (with stable serum electrolyte, blood urea nitrogen, and serum creatinine levels) presented with a large, nontender mass on his hard palate that had grown during a 10-month period (Panel A). Computed tomography revealed a round, expansile lesion arising from the hard palate with evidence of ossification (Panels B and C). The serum calcium level was 9.5 mg per deciliter (2.4 mmol per liter), and the serum phosphorus level was 7.0 mg per deciliter (2.3 mmol per . . . [Full Text of this Article] |
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