Huynh C H, Putz P, De Roose M, Delvaux D, Colinet J, Wagner J
Chirurgie Orthopédique et Traumatologie, Hôpital Universitaire Brugmann, Bruxelles, Belgium.
Int Orthop. 1994 Feb;18(1):57-8. doi: 10.1007/BF00180183.
The detection of metastatic deposits at the site of previous osteosynthesis is difficult. Bone imaging and scanning with technectium 99m are unhelpful in differentiating between osteomyelitis, Paget's disease and a bone metastasis. The authors present details of a patient who had undergone osteosynthesis for a fracture of the left tibia in 1983. In October 1989 signs of inflammatory change appeared at the site of the previous fracture. It was initially treated as if it were osteomyelitis, with curettage and insertion of gentamycin beads, although no organisms were grown. Eventually the patient was transferred to the author's hospital and further investigation revealed a carcinoma of the prostate. Histological examination of biopsy specimens from the left tibia confirmed the presence of a metastasis from this growth.
在先前骨固定术的部位检测转移性沉积物很困难。骨成像和用锝99m进行扫描对于区分骨髓炎、佩吉特病和骨转移并无帮助。作者介绍了一名患者的详细情况，该患者于1983年因左胫骨骨折接受了骨固定术。1989年10月，先前骨折部位出现了炎症变化迹象。最初将其当作骨髓炎进行治疗，实施了刮除术并植入庆大霉素珠，尽管未培养出微生物。最终患者被转至作者所在医院，进一步检查发现了前列腺癌。对左胫骨活检标本的组织学检查证实了该肿瘤的转移灶。
