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布罗迪脓肿:重新评估

Brodie abscess: reappraisal.

作者信息

Miller W B, Murphy W A, Gilula L A

出版信息

Radiology. 1979 Jul;132(1):15-23. doi: 10.1148/132.1.15.

DOI:10.1148/132.1.15
PMID:451190
Abstract

Upon review, 25 cases of Brodie abscess demonstrated a radiological spectrum not previously appreciated. One third of the lesions were diaphyseal in location, and 50% had associated cortical thickening, while 40% showed a stimulated periosteal reaction, and 20% contained sequestra. The variable radiological appearance was underscored by the fact that the preoperative diagnosis was other than osteomyelitis in half the cases. A diverse nomenclature has proliferated to describe and catalogue bone abscess formation. Although the radiological spectrum is broad, the unanimity of clinical presentation, pathological findings, and response to surgical excision supports the concept of a single entity with variable expression.

摘要

经复查,25例布罗迪脓肿呈现出一种此前未被认识到的放射学特征谱。三分之一的病灶位于骨干,50%伴有皮质增厚,40%显示有骨膜反应增强,20%含有死骨。术前诊断在半数病例中并非骨髓炎这一事实凸显了放射学表现的多样性。为描述和分类骨脓肿形成,出现了多种命名法。尽管放射学特征谱很广,但临床表现、病理结果以及对手术切除的反应的一致性支持了这一观点,即它是一个具有可变表现的单一实体。

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