摘要
目的 探讨长骨皮质型骨转移瘤的X线诊断。材料与方法 回顾性分析 7例经病理或随访证实的长骨皮质型转移瘤的X线表现 ,男 5例 ,女 2例。年龄 5 0～ 70岁 ,平均 6 2岁。结果 6例表现为“挖凿”样皮质缺损 ,1例呈边缘不清的虫蚀样皮质破坏。3例伴有明显骨膜反应 ,其中 1例有Codman三角。结论 长骨皮质型转移瘤的典型X线表现是“挖凿”样皮质破坏 ,可伴有明显骨膜反应 。
Objective To study the X ray diagnosis of cortical metastatic carcinoma of long bones.Materials and Methods X ray findings of cortical metastatic carcinoma of the long bones in 7 patients, 5 males and 2 females, aged 55～70 years (mean 62 years), were retrospectively analyzed.Results X ray findings included local excavated defect of the cortex (n=6), permeable destruction (n=1), and marked periosteal reaction (n=3) with one case presenting Codman's triangle.Conclusion Excavated cortex defect, with or without periosteal reaction, is the typical manifestation of cortical metastatic carcinoma of the long bones. Based on patients' age and history, differentiation with primary malignant bone tumor can usually be made.
出处
《临床放射学杂志》
CSCD
北大核心
2000年第10期646-647,共2页
Journal of Clinical Radiology
