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“假性”骨转移是什么可能?

2022-05-02 02:00:48 来源: 乌鲁木齐 咨询医生

Bone pseudo-metastases in superior vena ca syndrome

Author(s):Rodrigues T; Gomes A; Gonçalves, A; Fonseca, J;

DOI: 10.1594/EURORAD/CASE.12463

上腔腹腔综合征致”假性“骨转移(Bone pseudo-metastases in superior vena ca syndrome)。

CLINICAL HISTORY:

临床病史:

A 46-year-old woman with history of rectal cancer stage IV diagnosed in 2013, treated with an anterior rectal resection followed by adjuvant chemo and radiotherapy. She had done multiple chemotherapy treatments to the present date. The disease had metastasized to her lungs but no other sites of metastasis were documented.

患儿女,46岁;2013年病症为直肠癌IV期,给与了手术后、特别设计放低剂量,现有现在做了多次低剂量,发现肺脏转移但未发现其它部位转移。

胸部CT增强安全检查:

图1:Innonimate veins obstruction(无名腹腔下行)

Contrast-enhanced coronal reformatted CT image showing occluded innominate veins (red arrow). There is a chemotherapy catheter placed through the right innominate vein (white arrow).

增强CT冠状位合并示无名腹腔下行(E-);下方无名腹腔内低剂量导管留置(白箭)。

图2:Triangular shaped vertebral uptake

Left: unenhanced scan showing no notorious changes of vertebral bodies atenuation (red arrows); Right: post-contrast images with triangular shaped uptake centered to basivertebral foramen (red arrows), secondary to venous stasis and colaterals (white arrowheads)

左图:平扫CT看出颧骨密度无显着转变(E-); 上图:增强后图像看出颧骨的椎基底腹腔第一区的直角三角形的密度增高(E-),性疾病的腹腔淤滞和侧支腹腔开放(白斜线)。

图3:Triangular shaped vertebral uptake - Sagital reconstruction。中村状位合并德赛,颧骨凸起直角三角形的密度增高。

Post-contrast sagital reconstructions showing vertebral bodies triangular shaped uptake centered to basivertebral foramen (red arrows)

增强后中村状位合并德赛颧骨凸起椎基底腹腔呈直角三角形高密度。

FINAL DIAGNOSIS:Pseudo-bone metastasis (vertebral plexus vascular congestion)

最终病症:“假性”骨转移(椎腹腔丛血管患处)。

注:Pseudo-bone metastasis , 意指为”假性“骨转移,请各位共享更各个领域的翻译名词,明天!!!

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