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消失的骨转移瘤：静脉血栓形成患者增强CT中的一个陷阱。

Vanishing bone metastases: a pitfall in contrast-enhanced CT in patients with venous thrombosis.

作者信息

Pruente R, Strickland C D, Koo P J

机构信息

Department of Radiology, School of Medicine, University of Colorado, Aurora, CO, USA.

出版信息

BJR Case Rep. 2015 Jul 3;1(3):20150149. doi: 10.1259/bjrcr.20150149. eCollection 2015.

DOI:10.1259/bjrcr.20150149
PMID:30363580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6180826/
Abstract

Enhancement patterns of visceral venous collaterals are well documented in cases of superior vena cava obstruction. Only recently has intraosseous venous collateral enhancement been described. We describe an unusual case of vertebral marrow enhancement in the lower thoracic spine related to venous collateral circulation caused by an incidental hemiazygos thrombus. Misinterpretation of this finding can lead to the erroneous interpretation of sclerotic bone metastases.

摘要

上腔静脉阻塞病例中内脏静脉侧支循环的强化模式已有充分记录。骨内静脉侧支循环强化直到最近才被描述。我们描述了一例因偶然发现的半奇静脉血栓导致静脉侧支循环引起的下胸椎椎体骨髓强化的罕见病例。对这一发现的错误解读可能导致对硬化性骨转移的错误诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6919/6180826/91eaef6b9aea/bjrcr.20150149.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6919/6180826/21ce7775edf8/bjrcr.20150149.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6919/6180826/3b98be0ccfd0/bjrcr.20150149.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6919/6180826/91eaef6b9aea/bjrcr.20150149.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6919/6180826/21ce7775edf8/bjrcr.20150149.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6919/6180826/3b98be0ccfd0/bjrcr.20150149.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6919/6180826/91eaef6b9aea/bjrcr.20150149.g003.jpg

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2
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Spine J. 2015 Jun 1;15(6):1295-301. doi: 10.1016/j.spinee.2013.07.440. Epub 2013 Oct 7.
3
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Clin Nucl Med. 2013 Nov;38(11):908-9. doi: 10.1097/RLU.0b013e3182a20daa.
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Transient high density vertebral bone lesions.
Skeletal Radiol. 2013 Nov;42(11):1603, 1633-5. doi: 10.1007/s00256-013-1619-2.
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