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題 名 | Sternal Foramen Simulating Osteolytic Lesion on Scintigraphy and SPET Imaging=胸骨孔疑似蝕骨性病灶之閃爍造影及單光子放射斷層掃描 |
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作 者 | Pevenage,Philip; De Maeseneer,Michel; Muylle,Kristoff; Osteaux,Michel; | 書刊名 | 核子醫學雜誌 |
卷 期 | 15:4 2002.12[民91.12] |
頁 次 | 頁227-230 |
分類號 | 414.93 |
關鍵詞 | 胸骨孔; 胸骨; Sternal foramen; Sternum; |
語 文 | 英文(English) |
中文摘要 | 我們發表的是一位前胸痛的34歲男性,原來懷疑病灶在肋骨或是肋軟骨上,在做鎝-99m-medronate加上SPECT後,發現在胸骨體上有一個界線清楚的圓形區域放射活性減低,懷疑是蝕骨性的病灶或是解剖上的變異,而X光及電腦斷層也都顯示在胸骨體有一個大的骨質缺損的區域。為了避免誤診為蝕骨性的病灶,對於這類的解剖變異要跟臨床醫師提及胸骨孔的可能性,因為對該處搓揉,施行切片檢查或針炙可能會導致重大的心臟副作用。 |
英文摘要 | We present a 34-year-old man with pain at the level of the anterior chest walt. A lesion of the rib or rib cartilage was initially suspected. Bone scintigraphy using 99roTc-medronate was performed including single photon emission tomography (SPET). A well-delineated round-ed area devoid of radioactivity was evident at the level of the sternal body. The possibility of an osteolytic lesion or an anatomic variation was considered and radiographs and X-ray computed tomography (CT) images of the involved region were performed. Radiography and CT confirmed the presence of a large bony defect at the level of the sternal body. Knowledge of the existence of such anatomic variants is important to avoid misdiagnosis as an osteolytic process. The possibility of a sternal foramen should be mentioned to the clinician because infiltration, biopsy or acupuncture of this area may lead to fatal cardiac complications. |
本系統中英文摘要資訊取自各篇刊載內容。