查詢結果分析
來源資料
相關文獻
- Hypertrophic Osteoarthropathy in Nasopharyngeal Carcinoma Patients: Two Cases Report
- 鼻咽癌肺轉移續發之肥大性骨關節病病例報告及文獻回顧
- Orbital Invasion in Nasopharyngeal Carcinoma: Evaluation with Computed Tomography and Magnetic Resonance Imaging
- Adult Respiratory Distress Syndrome Caused by Neoplastic Pulmonary Metastasis--A Case Report
- 上頜掀開術切除局部復發之鼻咽癌--三例報告
- 中醫脈診儀應用於鼻咽癌患者接受放射線治療全程之研究
- Detection of Human Papilloma Virus and Epstein-Barr Virus DNA in Nasopharyngeal Carcinoma by Polymerase Chain Reaction
- 以螢光透視錄影吞嚥檢查評估鼻咽癌患者因放射線治療所致之吞嚥功能異常
- 鼻咽癌經放射線治療後的顳葉壞死
- A Phase Ⅱ Study of Neoadjuvant Interferon Alfa-2B and Concurrent Interferon and Radiotherapy in Primary Untreated Undifferentiated Carcinoma of Nasopharynx
頁籤選單縮合
題名 | Hypertrophic Osteoarthropathy in Nasopharyngeal Carcinoma Patients: Two Cases Report=發生於鼻咽癌之肥厚性骨骼關節病變:二例報告 |
---|---|
作 者 | 王重榮; 黃承華; 梁雲; 陳惠君; 黃英彥; | 書刊名 | 長庚醫學 |
卷期 | 21:2 1998.06[民87.06] |
頁次 | 頁222-226 |
分類號 | 416.879 |
關鍵詞 | 肥厚性骨骼關節病變; 鼻咽癌; 癌症附屬症候群; 肺轉移; Hypertrophic osteoarthropathy; Nasopharyngeal carcinoma; Paraneoplastic syndrome; Pulmonary metastasis; |
語文 | 英文(English) |
中文摘要 | 肥厚性骨骼關節病變是一種風濕性的病徵,臨床上的特點是發生杵狀指及骨骼關 節的酸痛等。肥厚性骨骼關節病變可以是原發性的,也可以續發於肺因性、心因性或惡性腫 瘤等病變。本文報告2例46歲及42歲的男性鼻咽癌病患在放射治療結束後1至4年後發生 肥厚性骨骼關節病變。診斷上,肥厚性骨骼關節病變必須和骨骼轉移鑑別。骨骼閃爍掃瞄顯 示所謂的平行軌道現象是一典型的發現。此外,一般的X光片顯示骨膜的增生也很有幫助。 這種病變是一種癌症附屬症候群,和肺轉移有關。由此兩個病例的臨床表徵顯示,鼻咽癌病 患一旦在追蹤期間出現這類症狀時,必須懷疑是否有肺部轉移。 |
英文摘要 | Hypertrophic osteoarthropathy (HOA) is a rheumatic disorder characterized by digital clubbing, bone pain, and arthralgia. HOA can be idopathic or secondary to a variety of pulmonary, cardiogenic, or malignant disorders. We present 2 male patients, aged 46 and 42, with advanced nasopharyngeal carcinoma (NPC) who developed HOA 1-4 years after radiotherapy. Differential diagnosis between HOA and coexisting bone metastasis must be made with caution. We found bone scintigraphy to be the most sensitive tool to distinguish between these 2 diseases. Intense symmetrical uptake of radioisotope along the cortex of long bones, so-called parallel tract sign, is typical. Plain radiographs demonstrating prominent periosteal reaction were also effective for this. The rheumatic manifestation of HOA was paraneoplastic and related to pulmonary metastasis. The clinical manifestation of the 2 patients suggested that pulmonary metastasis should be suspected in NPC patients when HOA appears. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。