Dietlein M, Lorenz R
Institut für Radiologische Diagnostik, Universität zu Köln.
Rofo. 1990 Jun;152(6):682-6. doi: 10.1055/s-2008-1046948.
Based on 57 fibrous metaphyseal defects the conventional radiologic signs are described as diagnostically reliable including asymptomatic patients as well as patients with a history of pain and lesions with positive scintigraphy. The radiologic morphology of the fibrous endosteal and medullary defects differs with the age of the patient. Beyond the age of 18 years there is a sclerosis of the lesion and a less marked arrosion of the corticalis. The differential diagnosis depends on the cortical, endosteal of medullary site of the fibrous defect as well as on the age of patient and includes the cortical metastasis, the juxta-articular osteoid-osteoma, the periosteal chondroma, the cortical irregularity, the solitary bone cyst, the fibrous dysplasia, the chronic osteomyelitis and the osteosclerotic osteosarcoma.
基于57例干骺端纤维性缺损，描述了传统放射学征象在诊断上的可靠性，包括无症状患者以及有疼痛病史和骨闪烁显像阳性病变的患者。纤维性骨内膜和髓质缺损的放射学形态因患者年龄而异。18岁以上患者的病变出现硬化，皮质侵蚀不明显。鉴别诊断取决于纤维性缺损的皮质、骨内膜或髓质部位以及患者年龄，包括皮质转移瘤、关节旁骨样骨瘤、骨膜软骨瘤、皮质不规则、孤立性骨囊肿、纤维发育不良、慢性骨髓炎和骨硬化性骨肉瘤。
