摘要
本文报告66例少见部位的骨巨细胞瘤,着重X线诊断的分析探讨。男41例,女25例。平均年龄31.5岁。发病部位分布广泛,66例分布于23个骨部位。跟骨巨细胞瘤有单房和多房两种基本表现形式。脊椎巨细胞瘤具有明显的侵袭性,有的肿瘤表现颇似脊椎结核。巨细胞瘤易跨越关节。文中深入地分析了肱骨、股骨颈巨细胞瘤的X线表现。对16例骨包壳进行了详细观察,认为骨壳不是骨皮质膨胀变薄,而是肿瘤刺激骨膜形成的反应性新生骨。
66 cases of giant cell tumors of bone located at uncommon sites are reported. The stress is put on the analysis of the radiologic diagnosis. The 66 cases include 41 males and 25 females, and the average age is 31. 5 years. The distribution of the tumors is widespread, 66 le- sions are dispersed in 33 pieces of bones. The tumors at calcaneus express either solitary or multi- ple focus patterns. The tumors at vertebrae have the charcteristic of aggression and some of them resemble tuberculosis of vertebrae. Giant cell tumors are apt to extend across the joiont. The radio- logic expressions of the tumors at humerus and collum femoris are analyzed indetails. The shells of the destroyed bones of 16 cases are clearly observed, and we consider that they are not the ex- pansion and thinning of the cortexes but new reactive bone formations of periostrum irritated by tumors.
出处
《泰山医学院学报》
CAS
1991年第4期366-369,共4页
Journal of Taishan Medical College
关键词
巨细胞瘤
X线诊断
骨肿瘤
Giant cell tumor
Malignant giant cell tumor of bone
Radiologic diagnosis
