POEMS综合征：不寻常的放射学、闪烁扫描和CT特征。
POEMS syndrome: unusual radiographic, scintigraphic and CT features.
作者信息
Narváez J A, Majós C, Narváez J, Valls C, Fernandez-Cabrera L
机构信息
Department of CT and MR Imaging, Institut de Diagnòstic per la Imatge, Hospital Duran i Reynals, Ciudad Sanitaria y Universitaria de Bellvitge, Autovia de Castelldefels km. 2'7, E-08907 L'Hospitalet de Llobregat, Barcelona, Spain.
出版信息
Eur Radiol. 1998;8(1):134-6. doi: 10.1007/s003300050353.
POEMS syndrome is a multisystemic disorder related to a plasma cell dyscrasia. Radiologically, this syndrome is characterized by sclerotic focal bone lesions with a normal radionuclide bone scan. We report a case of POEMS syndrome with an expansile lytic lesion in the sternum showing periosteal reaction and soft tissue mass, which revealed locally increased uptake of radiotracer in bone scintigraphy. These unusual findings and the differential diagnosis are discussed.
POEMS综合征是一种与浆细胞异常增殖相关的多系统疾病。在影像学上，该综合征的特征是局灶性骨硬化病变，而放射性核素骨扫描结果正常。我们报告一例POEMS综合征患者，其胸骨出现膨胀性溶骨性病变，并伴有骨膜反应和软组织肿块，骨闪烁显像显示局部放射性示踪剂摄取增加。本文讨论了这些不寻常的发现及鉴别诊断。
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