Hsu W H, Chiang C D, Hsu J Y, Huang W L
Department of Internal Medicine, Taichung Veterans General Hospital, Taiwan, Republic of China.
J Ultrasound Med. 1992 Mar;11(3):105-9. doi: 10.7863/jum.1992.11.3.105.
Impalpable osteolytic lesions may be detected and diagnosed by ultrasonography and sonographically guided needle aspiration biopsy. Eleven cases with bone destruction found on chest radiographs were proved to be malignant by sonographically guided needle aspiration biopsy. The bony lesions were all hypoechoic and could be demonstrated easily. No complications or discomfort occurred after needle aspiration. Bony lesions can be detected by ultrasonography only when pathologic changes have occurred. Ultrasonography and sonographically guided needle aspiration biopsy provide a simple, convenient, and non-invasive method for detecting and diagnosing impalpable osteolytic lesions.
无法触及的溶骨性病变可通过超声检查及超声引导下针吸活检进行检测和诊断。11例胸部X线片发现有骨质破坏的病例经超声引导下针吸活检证实为恶性。骨病变均为低回声,且易于显示。针吸后未出现并发症或不适。仅当发生病理改变时,超声检查才能检测到骨病变。超声检查及超声引导下针吸活检为检测和诊断无法触及的溶骨性病变提供了一种简单、便捷且无创的方法。