English R, Dicks-Mireaux C, Malone M, Scott R
Department of Radiology, John Radcliffe Hospital, Oxford, United Kingdom.
Skeletal Radiol. 1989;18(4):289-93. doi: 10.1007/BF00361209.
Two patients with osteosarcoma of a lower limb and presumed lymph node metastases are described. The metastases presented in both children as palpable masses, one in the inguinal region and the other in the pelvis. One was visible on plain radiography; both were demonstrated on computed tomography and bone scintigraphy. The inguinal mass was present at the first examination and was resected with the primary lesion. The pelvic mass presented 12 months after amputation and was unresectable; its subsequent rapid growth was demonstrated by computed tomography. In one patient the osteosarcoma was of the osteoblastic type.
本文描述了两名患有下肢骨肉瘤并疑似有淋巴结转移的患者。在这两名儿童患者中,转移灶均表现为可触及的肿块,一个位于腹股沟区,另一个位于骨盆。其中一个在平片上可见;两个在计算机断层扫描和骨闪烁扫描中均得以显示。腹股沟肿块在首次检查时就已存在,并与原发灶一起被切除。骨盆肿块在截肢12个月后出现,无法切除;计算机断层扫描显示其随后迅速生长。其中一名患者的骨肉瘤为成骨细胞型。