Kramer E L, Sanger J J, Benjamin D D, Tiu S
Clin Nucl Med. 1983 Nov;8(11):546-9. doi: 10.1097/00003072-198311000-00011.
We report a bone scan finding of bilaterally and symmetrically increased uptake at the lateral orbital rims in a patient with disseminated Hodgkin's disease. Computerized axial tomography (CT) demonstrated lacrimal gland enlargement, presumably due to infiltration by Hodgkin's disease. Both the radionuclide bone scan and CT findings, as well as the other physical and radiographic manifestations of Hodgkin's disease, resolved after chemotherapy. Infiltration by Hodgkin's lymphoma is a rare cause of lacrimal gland enlargement. We believe that this pattern of uptake on a routine bone scan should alert the physician to possible lacrimal gland disease, which could then be more definitively evaluated by CT examination.
我们报告了1例播散性霍奇金病患者骨扫描发现双侧眶外侧缘摄取对称性增加。计算机断层扫描（CT）显示泪腺肿大，推测是由于霍奇金病浸润所致。化疗后，放射性核素骨扫描和CT检查结果以及霍奇金病的其他体格检查和影像学表现均消失。霍奇金淋巴瘤浸润是泪腺肿大的罕见原因。我们认为，常规骨扫描上的这种摄取模式应提醒医生注意可能存在的泪腺疾病，然后可通过CT检查进行更明确的评估。
