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手部佩吉特病:影像学表现谱

Paget disease of the hand: radiographic spectrum.

作者信息

Friedman A C, Orcutt J, Madewell J E

出版信息

AJR Am J Roentgenol. 1982 Apr;138(4):691-3. doi: 10.2214/ajr.138.4.691.

DOI:10.2214/ajr.138.4.691
PMID:6978033
Abstract

Paget disease uncommonly affects the hand. When it does, radiographic findings are same as when the disease occurs elsewhere. Eleven new cases that demonstrate four predominant radiographic patterns are described: homogeneous sclerosis, trabecular coarsening, cortical thickening, and lysis. The homogeneous sclerosis pattern was associated with monostotic hand disease. One patient developed bilateral phalangeal osteosarcomas. In every case, the disease process extended to the subarticular region and the affected bone was enlarged. With one exception, both ends of the bone were involved.

摘要

佩吉特病很少累及手部。当累及手部时,影像学表现与该疾病在其他部位发生时相同。本文描述了11例新病例,这些病例呈现出四种主要的影像学表现:均匀性硬化、小梁增粗、皮质增厚和骨质溶解。均匀性硬化表现与手部单骨型疾病相关。1例患者发生了双侧指骨骨肉瘤。在每例病例中,疾病进程均扩展至关节下区域,且受累骨骼增大。除1例例外,骨骼两端均受累。

相似文献

1
Paget disease of the hand: radiographic spectrum.手部佩吉特病:影像学表现谱
AJR Am J Roentgenol. 1982 Apr;138(4):691-3. doi: 10.2214/ajr.138.4.691.
2
Musculoskeletal case of the day. Sarcomatous degeneration of Paget disease.今日肌肉骨骼病例。佩吉特病的肉瘤样变性。
AJR Am J Roentgenol. 1995 Jul;165(1):202-3. doi: 10.2214/ajr.165.1.7785597.
3
[Sarcomatous degeneration of Paget's disease].[佩吉特病的肉瘤样变性]
Orv Hetil. 1981 Apr 12;122(15):895-7.
4
Clinical radiology of Paget's disease.佩吉特病的临床放射学
Clin Orthop Relat Res. 1968 Mar-Apr;57:277-97.
5
Bone scan appearance of a Paget's osteosarcoma: failure to concentrate HEDP.佩吉特骨肉瘤的骨扫描表现:未能浓聚羟乙膦酸二钠。
J Nucl Med. 1977 Oct;18(10):1039-40.
6
Sarcomas of bone complicating osteitis deformans (Paget's disease): fifty years' experience.变形性骨炎(佩吉特病)并发的骨肉瘤:五十年经验
Am J Surg Pathol. 1981 Jan;5(1):47-59. doi: 10.1097/00000478-198101000-00008.
7
Bone sarcomas in Paget disease.佩吉特病中的骨肉瘤
Radiology. 1983 Feb;146(2):327-33. doi: 10.1148/radiology.146.2.6571760.
8
Sarcoma in Paget disease of bone: clinical, radiologic, and pathologic features in 22 cases.骨佩吉特病中的肉瘤:22例临床、放射学及病理学特征
AJR Am J Roentgenol. 1991 Jun;156(6):1199-203. doi: 10.2214/ajr.156.6.2028867.
9
A Case Report of Progressive Paget Disease Mimicking a Malignancy: A Second Episode 21 Years Later.一例酷似恶性肿瘤的进行性佩吉特病病例报告:21年后的再次发作
JBJS Case Connect. 2023 Jul 31;13(3). doi: 10.2106/JBJS.CC.22.00694. eCollection 2023 Jul 1.
10
[X-ray morphology of osteodystrophia deformans Paget (author's transl)].变形性骨炎(佩吉特氏病)的X线形态学(作者译)
Rontgenblatter. 1979 Dec;32(12):639-50.

引用本文的文献

1
Monostotic Paget's disease of the second metacarpal.第二掌骨单发性佩吉特病
BMJ Case Rep. 2015 Jan 5;2015:bcr2014206877. doi: 10.1136/bcr-2014-206877.
2
Case report 806: Monostotic Paget's disease of the hand (fifth metacarpal).
Skeletal Radiol. 1994 Jan;23(1):55-7.