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致癌性骨软化症:诊断及长期管理中的问题

Oncogenic osteomalacia: Problems in diagnosis and long-term management.

作者信息

Dhammi Ish K, Jain Anil K, Singh Ajay Pal, Mishra Puneet, Jain Saurabh

机构信息

Department of Orthopedics, UCMS and GTB Hospital, Delhi, India.

出版信息

Indian J Orthop. 2010 Oct;44(4):453-7. doi: 10.4103/0019-5413.69320.

DOI:10.4103/0019-5413.69320
PMID:20924490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2947736/
Abstract

Oncogenic osteomalacia is a rare association between mesenchymal tumors and hypophosphatemic rickets. It is more of a biochemical entity than a clinical one. The pathophysiology of the tumor is not clear. However, it has been seen that the clinical and biochemical parameters become normal if the lesion responsible for producing the osteomalacia is excised. For a clinical diagnosis a high index of suspicion is necessary. We present three such cases where in one the oncogenic osteomalacia reversed while in rest it did not. We present this case report to sensitize about the entity.

摘要

致癌性骨软化症是一种间充质肿瘤与低磷血症性佝偻病之间的罕见关联。与其说它是一种临床病症,不如说是一种生化实体。肿瘤的病理生理学尚不清楚。然而,已经观察到,如果切除导致骨软化症的病变,临床和生化参数会恢复正常。临床诊断需要高度的怀疑指数。我们报告三例这样的病例,其中一例致癌性骨软化症得到逆转,而其余病例未逆转。我们呈现此病例报告以提高对该病症的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/f459e6d289ad/IJOrtho-44-453-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/f9f1e2090454/IJOrtho-44-453-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/5f2344c3ba4f/IJOrtho-44-453-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/7777a58e8698/IJOrtho-44-453-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/deffb809d496/IJOrtho-44-453-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/f459e6d289ad/IJOrtho-44-453-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/f9f1e2090454/IJOrtho-44-453-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/5f2344c3ba4f/IJOrtho-44-453-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/7777a58e8698/IJOrtho-44-453-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/deffb809d496/IJOrtho-44-453-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8426/2947736/f459e6d289ad/IJOrtho-44-453-g005.jpg

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本文引用的文献

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Hypophosphataemic osteomalacia in neurofibromatosis.神经纤维瘤病中的低磷性骨软化症
Acta Orthop Belg. 2009 Dec;75(6):847-50.
2
PET/CT localisation of a scapular haemangiopericytoma with tumour-induced osteomalacia.伴有肿瘤诱导性骨软化症的肩胛骨血管外皮细胞瘤的PET/CT定位
Singapore Med J. 2009 Feb;50(2):e55-7.
3
Oncogenic osteomalacia as a harbinger of recurrent osteosarcoma.致癌性骨软化症作为复发性骨肉瘤的先兆
Sarcoma. 1999;3(2):95-9. doi: 10.1080/13577149977712.
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Oncogenic osteomalacia.
J Assoc Physicians India. 2007 Mar;55:231-3.
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Phosphate diabetes, tubular phosphate reabsorption and phosphatonins.磷酸盐性糖尿病、肾小管磷酸盐重吸收与磷调节素
Joint Bone Spine. 2005 Oct;72(5):376-81. doi: 10.1016/j.jbspin.2004.07.013. Epub 2004 Dec 15.
6
Oncogenic osteomalacia in a patient with hemangioma: a clinical diagnosis.一名患有血管瘤患者的致癌性骨软化症:临床诊断
Joint Bone Spine. 2006 Jan;73(1):115-8. doi: 10.1016/j.jbspin.2005.06.001. Epub 2005 Aug 1.
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Current pharmacological treatment for fibrous dysplasia and perspectives for the future.
Joint Bone Spine. 2005 May;72(3):196-8. doi: 10.1016/j.jbspin.2004.08.001.
8
Fibroblast growth factor 7: an inhibitor of phosphate transport derived from oncogenic osteomalacia-causing tumors.成纤维细胞生长因子7:一种源自导致肿瘤性骨软化症的肿瘤的磷酸盐转运抑制剂。
J Clin Endocrinol Metab. 2005 Feb;90(2):1012-20. doi: 10.1210/jc.2004-0357. Epub 2004 Nov 23.
9
Evidence for a bone-kidney axis regulating phosphate homeostasis.调节磷稳态的骨-肾轴的证据。
J Clin Invest. 2003 Sep;112(5):642-6. doi: 10.1172/JCI19687.
10
Tumor-induced osteomalacia and the regulation of phosphate homeostasis.肿瘤诱导的骨软化症与磷酸盐稳态的调节
Bone. 2000 Sep;27(3):333-8. doi: 10.1016/s8756-3282(00)00334-3.