Takahashi Y, Mizuno H, Go T, Kawarazaki S, Shindo T, Aoki M, Tamura K, Wada H, Hitomi S
Department of Thoracic Surgery, Kyoto University, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Jun;29(6):753-7.
A 48-year-old male was referred to our division, on the suspicion of lung cancer with bone metastasis. Chest radiography showed a mass shadow and bone scintigram demonstrated multiple scattered regions of increased uptake. However bronchial and bone biopsy specimens revealed granuloma with epithelial cells and giant cells. A diagnosis of tuberculous osteomyelitis was made, and antituberculous therapy was begun. Chest radiography and bone scintigrams one year later showed marked improvement.
一名48岁男性因疑似肺癌伴骨转移被转诊至我科。胸部X线检查显示有肿块阴影，骨闪烁扫描显示多个散在的摄取增加区域。然而，支气管和骨活检标本显示为伴有上皮细胞和巨细胞的肉芽肿。诊断为结核性骨髓炎，并开始抗结核治疗。一年后的胸部X线检查和骨闪烁扫描显示明显改善。
