Kumar Rakesh, Chandrashekhar N, Dasan J Bharathi, Ashok S, Rastogi S, Gupta Vikas, Hadi Mohiuddin, Choudhury Saikat
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
Clin Imaging. 2003 Jul-Aug;27(4):269-72. doi: 10.1016/s0899-7071(02)00550-8.
We present a case of a 14-year-old boy, who presented with pain in the left thigh region for 1 year. The pain exacerbated at night, waking up the child and was relieved by salicylates. On the basis of clinical history, conventional radiography, computerized tomography and bone scintigraphy, a diagnosis of osteoid osteoma was made. The tumor was completely excised, and there was complete remission of symptoms. Six months following surgery, the pain recurred in the same region. Conventional radiography revealed dense sclerosis at the surgical site. Three-phase skeletal scintigraphy showed a focal area of increased blood pool activity followed by intense focal uptake in delayed images, characteristic of osteoid osteoma. Computerized tomography confirmed the findings of skeletal scintigraphy.
我们报告一例14岁男孩，其左大腿区域疼痛1年。疼痛在夜间加剧，使患儿醒来，服用水杨酸盐后缓解。根据临床病史、传统X线摄影、计算机断层扫描和骨闪烁显像，诊断为骨样骨瘤。肿瘤被完全切除，症状完全缓解。术后6个月，同一区域疼痛复发。传统X线摄影显示手术部位有致密硬化。三相骨闪烁显像显示局部血池活性增加，随后在延迟图像中有强烈的局部摄取，这是骨样骨瘤的特征。计算机断层扫描证实了骨闪烁显像的结果。
