Sebag-Montefiore D J, Lam K S, Arnott S J
Department of Radiotherapy, St Bartholomew's Hospital, London, UK.
Br J Radiol. 1997 Aug;70(836):862-4. doi: 10.1259/bjr.70.836.9486058.
Bone metastases from colorectal cancer are uncommon and usually present late in the natural history of metastatic disease. This case report describes a 48-year-old man who developed an unusual distribution of bony metastases with multifocal osteolytic tarsal metastases 50 months after excision of a rectal carcinoma. An open biopsy was required to establish the diagnosis, exclude osteomyelitis and allow palliative radiotherapy to be given.
结直肠癌骨转移并不常见,通常在转移性疾病的自然病程后期出现。本病例报告描述了一名48岁男性,在直肠癌切除术后50个月出现了不寻常分布的骨转移,伴有多灶性溶骨性跗骨转移。需要进行开放性活检以明确诊断、排除骨髓炎并给予姑息性放疗。