Kussman Steven R, Thompson Michael, Chang Eric Y
Department of Radiology, University of California, San Diego Medical Center, San Diego, CA 92103.
Scripps Healthcare, 10666 N. Torrey Pines Road, La Jolla, CA 92037.
Clin Imaging. 2015 Jul-Aug;39(4):725-7. doi: 10.1016/j.clinimag.2015.02.001. Epub 2015 Feb 12.
Osteoid osteomas can be a challenging diagnosis, especially in smaller bones and, particularly, in the carpus. Clinical and imaging diagnosis may both be delayed due to other, more common, post-traumatic or inflammatory pathology in the same area. We present a case of a pathologically proven scaphoid osteoid osteoma with a feeding vessel sign on magnetic resonance imaging, previously described in long bones with computed tomography, as a helpful sign for accurate diagnosis in the scaphoid.
骨样骨瘤的诊断可能具有挑战性,尤其是在较小的骨骼中,特别是在腕骨。由于同一区域存在其他更常见的创伤后或炎症性病变,临床和影像学诊断可能都会延迟。我们报告一例经病理证实的舟骨骨样骨瘤病例,该病例在磁共振成像上显示有供血血管征,此征象先前在长骨的计算机断层扫描中已有描述,对舟骨的准确诊断是一个有用的征象。