Gruszkiewicz J, Doron Y, Borovich B, Zaaroor M
Surg Neurol. 1987 Feb;27(2):117-25. doi: 10.1016/0090-3019(87)90282-5.
Four cases of spinal cord compression stemming from Paget's disease of bone tissue are reported. Sarcomatous degeneration was proved in one case and in another one malignancy was deduced by computed tomography (CT) scanning. Clinical and radiologic manifestations as well as surgical management are discussed. The value of CT scanning of the spine as an aid in the evaluation of structural changes and the size of the soft tissue mass in sarcomatous degeneration of the lesion is stressed. After calcitonin administration, alleviation of pain and improvement in neurological status have occurred in two treated patients.
本文报告了4例因骨组织佩吉特病导致脊髓受压的病例。其中1例经证实发生了肉瘤样变性,另一例通过计算机断层扫描(CT)推断为恶性。文中讨论了其临床和放射学表现以及手术治疗方法。强调了脊柱CT扫描在评估病变肉瘤样变性时结构变化和软组织肿块大小方面的辅助价值。在两名接受治疗的患者中,给予降钙素后疼痛减轻,神经功能状态得到改善。