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目的:提高对少见部位骨巨细胞瘤的正确诊断。材料与方法:搜集21例经手术病理证实的少见部位骨巨细胞瘤进行回顾性分析,男性9例,女性12例。年龄13~77岁。20例摄X线平片,10例行CT扫描。结果:21例中膨胀性囊性骨破坏12例,溶骨性骨破坏9例;偏心性生长3例,软组织肿块7例,小梁形成4例,侵犯邻近骨骼3例;多中心2例,肺和肋骨转移1例,术后复发1例。结论:对于少见部位巨细胞瘤的诊断,平片有重要价值,CT扫描优于平片。
Objective: To improve the diagnosis of rare giant cell tumor of bone. Materials and Methods: A retrospective analysis was performed on 21 cases of giant cell tumor of bone, a rare site confirmed by surgery and pathology. There were 9 males and 12 females. Age 13 to 77 years old. 20 cases of X-ray film, 10 cases of CT scan. Results: In 21 cases, 12 cases were destroyed by cystic bone destruction and 9 cases by osteolytic bone destruction. There were 3 cases with eccentric growth, 7 cases with soft tissue mass, 4 cases with trabecular bone formation, 3 cases with adjacent bone invasion, 2 cases with multiple centers, 1 case of lung and rib metastasis, 1 case of recurrence. Conclusion: For the diagnosis of rare parts of giant cell tumor, plain film has important value, CT scan is better than plain film.