Bosschaert P, Mailleux P
Dpt of Radiology, Clinique St. Luc, Bouge, Belgium.
J Belge Radiol. 1998 Feb;81(1):11-3.
The development of bone sarcoma in a patient with Paget disease is a classic but rare event. The authors describe the XR, CT and MR features of an undifferentiated Paget sarcoma arising in the proximal ulna, a very rare location of this tumoral complication. Clinical symptoms, radiological pattern and epidemiology are discussed. In every Paget patient presenting with a new or different pain, with or without mass effect, the radiologist has to search for signs of sarcomatous transformation, i.e. cortical osteolysis, soft tissue mass and sometimes an associated fracture.
佩吉特病患者发生骨肉瘤是一种典型但罕见的情况。作者描述了一例发生于尺骨近端的未分化佩吉特肉瘤的X线、CT和MR特征，这是这种肿瘤并发症非常罕见的发病部位。文中讨论了临床症状、影像学表现及流行病学情况。对于每一位出现新的或不同疼痛、伴有或不伴有肿块效应的佩吉特病患者，放射科医生都必须寻找肉瘤样变的征象，即皮质骨溶解、软组织肿块，有时还伴有骨折。
