Barkow U, Weissbach L, Strohmeier A, Schöder H, Friedrich M
Abteilung für Radiologie und Nuklearmedizin, Krankenhaus Am Urban, Berlin.
Aktuelle Radiol. 1994 Sep;4(5):274-6.
We report about a patient with a solitary tibial metastasis of a prostatic carcinoma. Metastases to the peripheral skeleton are relatively rare with a frequency of only 1-2% and are mainly found in cases of general spread of the disease. Complaints due to peripheral solitary metastases often cause misinterpretations. Bone scintigraphy is the primary method in the diagnosis of skeletal metastases, and is sometimes supported by specific radiographs. MRI yields excellent images of the extension of the tumor. It is therefore of high diagnostic value in the preoperative definition of the metastatic spread in bone and neighbouring soft tissue structures.
我们报告了一例前列腺癌孤立性胫骨转移患者。转移至外周骨骼相对罕见,发生率仅为1%-2%,主要见于疾病广泛播散的病例。外周孤立性转移引起的症状常导致误诊。骨闪烁扫描是诊断骨转移的主要方法,有时需结合特定的X线片。磁共振成像(MRI)能很好地显示肿瘤的范围。因此,它在术前明确骨及邻近软组织结构的转移范围方面具有很高的诊断价值。