Hough D M
Department of Radiology, Auckland Hospital, Grafton.
Australas Radiol. 1992 May;36(2):147-9. doi: 10.1111/j.1440-1673.1992.tb03104.x.
An eighteen year old female presented with multifocal synchronous osteosarcoma, with multiple skeletal foci of tumour in long bones, pelvis and spine. The radiographically dominant lesion was in the right ilium, and this was considered to be the primary site. There was an extensive osseous pleural plaque and there were also metastases to lungs, peritoneum, abdominal wall, adrenal gland and lymph nodes. A review of the literature reveals that multifocal osteosarcoma is an uncommon condition and is probably due to metastatic disease and not multiple primary lesions. Pleural metastatic disease in osteosarcoma has been seldom reported.
一名18岁女性患多灶性同步骨肉瘤，长骨、骨盆和脊柱有多个骨骼肿瘤病灶。影像学上占主导地位的病变位于右髂骨，被认为是原发部位。有广泛的骨胸膜斑，还有肺、腹膜、腹壁、肾上腺和淋巴结转移。文献回顾显示，多灶性骨肉瘤是一种罕见疾病，可能是转移性疾病而非多原发性病变。骨肉瘤的胸膜转移疾病鲜有报道。
