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頁籤選單縮合
題名 | Giant Cell Tumor of the Bone: Radiography, CT, MRI, and Angiography Findings=骨骼巨細胞瘤 |
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作者 | 陳良光; 蘇誠道; 蔡裕豐; 陳旭漪; 彭惠玲; 吳金珠; 姚敏思; 賴善鳴; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 26:2 2001.04[民90.04] |
頁次 | 頁61-67 |
分類號 | 416.66 |
關鍵詞 | 骨腫瘤; 電腦斷層攝影; 磁共振造影; 數位消像血管攝影; Bone neoplasm; Bone CT; MRI; DSA; |
語文 | 英文(English) |
中文摘要 | 骨巨細胞瘤佔4∼5%之所有原發性骨骼腫瘤,其初期發生是良性,極少惡性,但經過刮除術後有60%會復發且10%會轉移至肺部。 其發生年齡由20至50歲,少許低於16和高於70歲,女性多於男性。於臨床上其會產生極痛,腫塊和病理性骨折,另外,如侵犯至關節會造成行動受到限制和痛覺。 其最常侵犯部位為長骨近端和端,並有少許侵犯坁骨,髖骨,椎骨,頭骨,蹠骨等。於常規放射線攝影所顯示為擴張蝕骨性病灶,有時破壞皮質而侵入鄰近的軟組織。另外會有病理性骨折,但很少有骨膜反應或鈣化。 新光吳火獅紀念醫院由1993年12月至2000年7月共收集了12例疑似巨細胞瘤,年齡由17歲至58歲,平均年齡為37.5歲;9女3男。這些病患都接受常規放射線攝影,其中7例接受電腦斷層攝影,5例接受磁共振造影,3例接受數位消像血管攝影,並且經過開刀和病理組織診斷為骨巨細胞瘤。因此我們將其放射線上之變化提出討論,並提供給大家參考指教。 |
英文摘要 | Giant cell tumors (GCTs) account for 4%~5% of all primary bone tumors, and radiography shows radiolucent expansile, eccentric lesions at the end of long bones. Twelve patients with primary GCTs of the bone were studied. In some cases, the complex anatomy and extent of the lesion could not be clearly depicted on conventional radiography, thus, computed tomography, magnetic resonance imaging, and digital subtraction angiography were helpful. The clinical course, radiographic findings, and differential diagnoses were discussed. |
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