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題名 | The Usefulness of Bone Scintigraphy in the Evaluation of Hypertrophic Osteoarthropathy after Chemotherapy: A Case Report and Literature Review=骨骼掃描對化療後增生性骨質病變之評估:病例報告和文獻回顧 |
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作者 | 林瑩; 蔡世傳; 王心怡; 魯祐祐; 林萬鈺; | 書刊名 | 核子醫學雜誌 |
卷期 | 23:1 2010.03[民99.03] |
頁次 | 頁47-51 |
分類號 | 414.93 |
關鍵詞 | 增生性骨質病變; 骨骼掃描; 肺癌; Hypertrophic osteoarthropathy; Bone scintigraphy; Lung cancer; |
語文 | 英文(English) |
中文摘要 | 增生性骨質病變在骨頭掃描是罕見的,常伴隨著其他重大的疾病。一位67歲的肺癌病患在治療之前接受骨骼掃描,發現有兩側股骨及脛骨骨質增生,符合增生性骨質病變的特徵,臨床上合併有下肢疼痛的症狀,而下肢X光檢查並沒有異常。病患接受開刀切除腫瘤、電療、以及完整化療。療程結束復兩個月,重複骨骼掃描發現,先前骨質增生的病灶完全消失,病患下肢的疼痛也已經緩解。我們認爲在評估增生性骨質病變的治療效果上,骨骼婦描比傳統X光檢查更爲有用。 |
英文摘要 | Hypertrophic osteoarthropathy (HOA) is a rare syndrome and most HOA is related to malignancy. A 67-year-old heavy smoking male with lung adenosquamous carcinoma was given bone scintigraphy before therapy. The bone scan showed uneven radioactivity at the bilateral femoral shafts, the bilateral tibial shafts, bilateral humeurs and bilateral forearms, which are compatible with the typical pattern of HOA. This patient had symptoms of severe pain in both lower limbs. Nevertheless, radiography revealed normal bony texture. Two months after therapy, the bone scintigraphy revealed complete resolution of the abnormal radioactivity. In addition, the symptoms of severe lower limbs pain disappeared. In conclusion, we consider bone scan is a better tool than planar radiography in monitoring the resolution of HOA. |
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