锝-泛素29-41骨SPECT/CT扫描在颅面部的应用：颅骨肿瘤的误诊——病例报告
Tc-UBI 29-41 bone SPECT/CT scan in craniofacial : Misdiagnosis of cranial bone tumor - A case report.
作者信息
la Cerda-Vargas María F De, Rangel José Antonio Candelas, Mata Elizabeth Meza, Ramírez-Cárdenas Araceli, Sandoval-Bonilla Bayron A
机构信息
Department of Neurosurgery, Hospital de Especialidades No. 71, Instituto Mexicano del Seguro Social, Torreón, Coahuila, México.
Department of Pathology, Hospital de Especialidades No. 71, Instituto Mexicano del Seguro Social, Torreón, Coahuila, México.
出版信息
Surg Neurol Int. 2020 Dec 16;11:442. doi: 10.25259/SNI_684_2020. eCollection 2020.
BACKGROUND
Actinomycosis is a rare infection, frequently misdiagnosed as a neoplasia. This chronic and granulomatous disease is caused by species. Cervicofacial actinomycosis occurs in 60% of cases and the diagnosis is commonly made by histopathology study.
CASE DESCRIPTION
We report a case of fronto-orbital osteomyelitis initially misdiagnosed as a cranial bone meningioma, but later proved to be a case of actinomycosis. Technetium (Tc) three-phase bone single-photon emission computed tomography/computed tomography (SPECT/CT) and Tc-ubiquicidin (UBI) 29-41 bone SPECT/CT scans were performed to corroborate the control of the infection.
CONCLUSION
Craniofacial actinomycosis is the most common presentation of actinomycosis. However, it continues to be a rare and difficult disease to diagnose and is often confused with a neoplastic process. The Tc-UBI 29-41 bone SPECT/CT scan could be an auxiliary noninvasive diagnostic alternative and a follow-up method for these patients.
背景
放线菌病是一种罕见的感染性疾病，常被误诊为肿瘤。这种慢性肉芽肿性疾病由多种放线菌引起。60%的病例发生在面颈部，通常通过组织病理学研究进行诊断。
病例描述
我们报告一例额眶骨髓炎，最初被误诊为颅骨脑膜瘤，但后来证实为放线菌病。进行了锝（Tc）三相骨单光子发射计算机断层扫描/计算机断层扫描（SPECT/CT）和Tc-泛癸利定（UBI）29-41骨SPECT/CT扫描，以证实感染得到控制。
结论
颅面部放线菌病是放线菌病最常见的表现形式。然而，它仍然是一种罕见且难以诊断的疾病，常与肿瘤性病变相混淆。Tc-UBI 29-41骨SPECT/CT扫描可为这些患者提供一种辅助性非侵入性诊断方法及随访手段。
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