易被误诊为多发骨转移瘤的全身骨显像病例分析

发布时间：2018-12-14 05:47

【摘要】：目的:分析总结易被误诊为多发骨转移瘤的疾病的全身骨显像特征,为核医学医师鉴别诊断这些疾病提供可借鉴的经验。方法:回顾性研究2008年1月—2014年5月我科以骨骼多发病变为表现的全身骨显像病例,重点分析易被误诊为多发骨转移瘤的病例,总结各类误诊疾病的骨显像特征。结果:多发性骨髓瘤、多发性骨纤维异常增殖症、多发性骨结核、甲状旁腺功能亢进症所致骨病、侵犯骨骼的淋巴瘤、骨髓纤维化、多发性骨嗜酸性肉芽肿等疾病可出现类似于多发骨转移瘤的全身骨显像表现,易被误诊。但分析总结后发现多发性骨髓瘤、多发性骨结核、多发性骨纤维异常增殖症、甲状旁腺功能亢进症所致骨病具有一些不同于骨转移瘤的全身骨显像特征。结论:类似多发骨转移瘤骨显像表现的部分疾病具有一些骨显像特征,这些特征有助于核医学医师鉴别骨转移瘤与上述疾病。
[Abstract]:Objective: to analyze and summarize the characteristics of systemic bone imaging of diseases that are easily misdiagnosed as multiple bone metastases, and to provide useful experience for nuclear medicine doctors in differential diagnosis of these diseases. Methods: from January 2008 to May 2014, we retrospectively studied the cases of bone scintigraphy in our department, which were characterized by bone occurrences, and analyzed the cases that were easily misdiagnosed as multiple bone metastases, and summarized the characteristics of bone imaging of various misdiagnosed diseases. Results: multiple myeloma, multiple fibrous dysplasia, multiple bone tuberculosis, hyperparathyroidism, lymphoma invading bone, bone marrow fibrosis, Multiple bone eosinophilic granulomatosis and other diseases may present systemic bone imaging similar to multiple bone metastases and are easily misdiagnosed. But it was found that multiple myeloma, multiple bone tuberculosis, multiple fibrous dysplasia and hyperparathyroidism had some characteristics of bone imaging different from bone metastases. Conclusion: some diseases similar to the bone imaging findings of multiple bone metastases have some characteristics of bone imaging which are helpful for nuclear medicine doctors to distinguish bone metastases from these diseases.
【作者单位】：第三军医大学附属西南医院核医学科;
【分类号】：R816.8

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