齿突痛风石的内镜活检采样。病例报告及文献复习
Endoscopic biopsy sampling of tophaceous gout of the odontoid process. Case report and review of the literature.
作者信息
Fraser Justin F, Anand Vuay K, Schwartz Theodore H
机构信息
Department of Neurological Surgery, Weill Medical Center of Cornell University, New York Presbyterian Hospital, New York, New York 10021, USA.
出版信息
J Neurosurg Spine. 2007 Jul;7(1):61-4. doi: 10.3171/SPI-07/07/061.
The authors present the case of a 71-year-old man who presented with neck pain, a history of gout, and a mass in the dens. Results of transoral endoscopic biopsy sampling demonstrated tophaceous gout. The patient was treated medically and the pain resolved. Tophaceous gout isolated in the dens is extremely rare and should be considered in the differential diagnosis of masses in this region. With the aid of transoral or transnasal endoscopic biopsy sampling, the diagnosis can be reached in a minimally invasive manner.
作者报告了一例71岁男性患者，该患者有颈部疼痛、痛风病史，且齿状突有肿物。经口内镜活检取样结果显示为痛风石性痛风。该患者接受了药物治疗，疼痛得以缓解。孤立于齿状突的痛风石性痛风极为罕见，在该区域肿物的鉴别诊断中应予以考虑。借助经口或经鼻内镜活检取样，能够以微创方式做出诊断。
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