Walther E U, Grunewald R, Stötzer O J, Jehn U
Medizinische Klinik III, Klinikum Grosshadern, Universität München.
Dtsch Med Wochenschr. 1993 Nov 19;118(46):1677-82. doi: 10.1055/s-2008-1059501.
The chest radiograph of a 56-year-old man with pain over the entire region of back, chest and vertebral column revealed chunky swelling over the 7th right rib. Other radiographs and magnetic resonance imaging further showed an infiltrative process in the 12th thoracic and the 2nd as well as 4th lumbar vertebrae. Skeletal scintigraphy was highly suggestive of bone metastases. Results of laboratory tests were within normal limits. Partial rib resection was performed after failure to find the site of a primary tumour. The diagnosis of polyostotic fibrous dysplasia was made histologically. There was no evidence of malignancy and a rare additional endocrinopathy (McCune-Albright syndrome) was excluded.
一名56岁男性，背部、胸部和脊柱全区域疼痛，胸部X线片显示右侧第7肋骨有块状肿胀。其他X线片和磁共振成像进一步显示第12胸椎以及第2和第4腰椎有浸润性病变。骨闪烁显像高度提示骨转移。实验室检查结果在正常范围内。在未能找到原发肿瘤部位后，进行了部分肋骨切除术。组织学诊断为多骨型纤维发育不良。没有恶性肿瘤的证据，且排除了罕见的附加内分泌病（McCune-Albright综合征）。
