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副肿瘤性肌肉骨骼疾病:放射科医生的综述与更新

Paraneoplastic musculoskeletal disorders: review and update for radiologists.

作者信息

Khalatbari Kani Kimia, Porrino Jack A, Mulligan Michael E, Chew Felix S

机构信息

Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Yale School of Medicine, Radiology and Biomedical Imaging, New Haven, CT, 06520-8042, USA.

出版信息

Skeletal Radiol. 2023 Mar;52(3):421-433. doi: 10.1007/s00256-022-04074-w. Epub 2022 May 23.

Abstract

Rheumatic paraneoplastic syndromes are rare syndromes that occur at distant sites from the underlying tumor and may involve the bones, joints, fasciae, muscles, or vessels. In the absence of a known tumor, early recognition of a rheumatic syndrome as paraneoplastic permits dedicated work-up for, and potentially early treatment of an occult malignancy. Although there is a continuously growing list of paraneoplastic rheumatic disorders, not all of these disorders have a well-established association with a neoplastic process. The goals of this article are to review the clinical characteristics, diagnostic work-up, and imaging findings of well-documented rheumatic paraneoplastic disorders.

摘要

风湿性副肿瘤综合征是一种罕见的综合征,发生于远离潜在肿瘤的部位,可能累及骨骼、关节、筋膜、肌肉或血管。在没有已知肿瘤的情况下,早期将风湿综合征识别为副肿瘤性疾病有助于对隐匿性恶性肿瘤进行专门检查,并可能进行早期治疗。尽管副肿瘤性风湿性疾病的种类不断增加,但并非所有这些疾病都与肿瘤形成过程有明确的关联。本文的目的是回顾有充分文献记载的风湿性副肿瘤性疾病的临床特征、诊断检查和影像学表现。

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