Kim Min-Woo, Lim Seok Tae, Sohn Myung-Hee
Department of Nuclear Medicine, Chonbuk National University Medical School, Chonju, Korea.
Clin Nucl Med. 2003 Sep;28(9):778-9. doi: 10.1097/01.rlu.0000082673.79517.7d.
Enchondroma is a common benign cartilaginous tumor arising from the medullary cavity, most commonly in the phalanges and metacarpals of the hand. Enchondroma involving the ulna is very rare. Typically, benign enchondroma shows normal or only slightly increased uptake of a bone-seeking agent on delayed bone scintigraphy. Markedly increased activity of enchondroma with pain is most often associated with pathologic fracture or malignant degeneration. The authors present the 3-phase bone scintigraphic findings of a benign enchondroma associated with pain, which showed focal hyperperfusion, hyperemia, and intense bone uptake in the distal right ulna.
内生软骨瘤是一种常见的起源于骨髓腔的良性软骨肿瘤,最常见于手部的指骨和掌骨。累及尺骨的内生软骨瘤非常罕见。通常,良性内生软骨瘤在延迟骨闪烁显像上显示对亲骨性剂的摄取正常或仅略有增加。伴有疼痛的内生软骨瘤活性明显增加最常与病理性骨折或恶性变相关。作者展示了一例伴有疼痛的良性内生软骨瘤的三相骨闪烁显像结果,其显示右尺骨远端局灶性血流灌注增加、充血及强烈的骨摄取。