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感染性骨髓炎与播散性神经母细胞瘤并存:骨闪烁显像解决诊断难题

Coincidence of infectious osteomyelitis and disseminated neuroblastoma: a diagnostic dilemma solved by scintigraphic imaging.

作者信息

Kiess W, Leisner B, Haas R

出版信息

J Cancer Res Clin Oncol. 1985;110(1):85-6. doi: 10.1007/BF00402509.

Abstract

The case of a 41/2-year-old girl with disseminated neuroblastoma and concomitant osteomyelitis is reported. Neuroblastoma was detected in the vertebral column, the right suprarenal fossa, the left side of cranium and in bone marrow aspirates. Osteomyelitis was present in the left femur and was due to Salmonella tennessee. For the first time in the literature the two lesions were demonstrated by means of simultaneous 131I-MIBG and 99mTc-DPD scintigraphy. The diagnoses were proved by direct histological and microbiological studies.

摘要

报告了一名4岁半患有播散性神经母细胞瘤并伴有骨髓炎的女孩病例。在脊柱、右肾上腺窝、颅骨左侧和骨髓穿刺物中检测到神经母细胞瘤。左股骨存在骨髓炎,由田纳西沙门氏菌引起。首次在文献中通过同时进行¹³¹I - MIBG和⁹⁹ᵐTc - DPD闪烁扫描显示了这两种病变。诊断通过直接组织学和微生物学研究得到证实。

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