Durzinsky D S, Messing E M, Myerowitz P D, Pellett J R, Wilson M A
Cancer. 1987 Feb 15;59(4):723-5. doi: 10.1002/1097-0142(19870215)59:4<723::aid-cncr2820590410>3.0.co;2-6.
In the clinical staging of malignancy, radionuclide bone scanning has played an increasingly important role. An area of increased radionuclide uptake on technetium 99 (99Tc) bone scan which is not visualized on skeletal radiographs can present a significant diagnostic dilemma. This can be further compounded by nonrevealing percutaneous or open surgical biopsies. The authors present a method of definitively localizing the appropriate site for bone biopsy in such circumstances. Use of this technique has allowed us to ascertain that isolated rib lesions in two patients with extra-osseous malignancies were not due to metastatic disease.
在恶性肿瘤的临床分期中，放射性核素骨扫描发挥着越来越重要的作用。在99锝（99Tc）骨扫描上放射性核素摄取增加的区域，而在骨骼X线片上不可见，这可能会带来重大的诊断难题。经皮或开放性手术活检无结果会使这一情况更加复杂。作者介绍了一种在这种情况下明确确定骨活检合适部位的方法。使用该技术使我们能够确定两名骨外恶性肿瘤患者的孤立肋骨病变并非转移性疾病所致。
