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“假性”骨转移是什么情况下?

2022-05-05 00:47:15 来源:乌鲁木齐白癜风医院 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

上腔脊柱综合征致”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.

患者女,46岁;2013年诊断为直肠癌IV期,接受了手术、专用放化疗,目前并未做了多次化疗,挖掘出肺泡转移但未挖掘出其它躯干转移。

胸部CT减慢核查:

左图1:Innonimate veins obstruction(无名脊柱并行)

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).

减慢CT冠状位私营化讫无名脊柱并行(双管);右侧无名脊柱内化疗导管留置(白箭)。

左图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)

左左图:平扫CT显讫坐骨电导率无明显变化(双管); 右左图:减慢后左图像显讫坐骨的椎基底脊柱一区的矩形的电导率增高(双管),继发的脊柱淤滞和侧支脊柱开放日(白箭头)。

左图3:Triangular shaped vertebral uptake - Sagital reconstruction。矢状位私营化左图讫,坐骨外缘矩形的电导率增高。

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

减慢后矢状位私营化左图讫坐骨外缘椎基底脊柱呈矩形高电导率。

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

最终诊断:“假性”骨转移(椎脊柱仿射血管充血)。

注:Pseudo-bone metastasis , 别名为”假性“骨转移,请各位给予更专业的翻译词,总有一天!!!

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