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1
参考中文标题：
血管畸形四肢：重视磁共振成像功能，指导治疗方案。 [错误出现在骨骼放射治疗。 2006年12月35 （ 12 ） ： 964注：法亚德，劳拉[纠正，以法亚德，劳拉米] ] 。 [审查] [ 46参]
作者单位：
Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA. lfayad1@jhmi.edu
PMID及链接：
16447042 http://www.syyxw.com/Archive/Detail/16447042
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摘 要：
Vascular malformations can be classified into high-flow arteriovenous malformations (AVM) and low-flow venous or lymphatic malformations (VM/LM). VMs and LMs have the ability to cross multiple tissue boundaries. Not only is subcutaneous tissue often involved, but multiple muscle groups, tendons, bone cortex and bone marrow are also not uncommonly violated. Magnetic resonance imaging (MRI) provides valuable information for the assessment and treatment of malformations. Firstly, MRI can characterize the flow pattern of these malformations to guide treatment towards trans-arterial embolization for AVMs and percutaneous embolization for low flow malformations. MRI is essential to define the anatomic extent and involvement of various tissue layers (a distinct advantage over ultrasound), and to correlate treatable components of the malformation with patient symptoms. Treatment is decided by the need to alleviate clinical symptoms, and is dependent on the extent of the malformation as defined by MRI. We present MRI features of vascular malformations to demonstrate the potential spectrum of involvement of these lesions, illustrating the value of MRI in treatment planning. [References: 46]
参考中文摘要：
血管畸形可分为高流量动静脉畸形（ AVM的）和低流量静脉或淋巴管畸形（ VM的/长征） 。越南船民和LMS有能力跨多个组织的边界。不仅是皮下组织往往涉及，但多个肌群，肌腱，骨皮质和骨髓也没有异常的侵犯。磁共振成像（ MRI ）提供了宝贵的信息，评估和治疗畸形。首先， MRI能特点的流态这些畸形指导对待跨动脉栓塞和经皮栓塞治疗动静脉畸形的低流量畸形。 MRI是必须确定的解剖程度和参与各种组织层（一个独特的优势，超声） ，以及相关治疗的组成部分畸形患者的症状。处理决定的需要，以缓解临床症状，并依靠程度畸形所界定的磁共振成像。我们目前的磁共振成像血管畸形的特点表现出的潜力频谱参与这些病变，说明了价值MRI在治疗计划。 [参考文献： 46 ]
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :127-37
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2
参考中文标题：
CT引导下经皮穿刺定位穿刺活检在深部肌肉骨骼病变：一项前瞻性研究128例。
作者单位：
Orthopaedic Oncology Service, Tata Memorial Hospital, E Borges Marg, Parel, Mumbai, India. docpuri@vsnl.com
PMID及链接：
16391943 http://www.syyxw.com/Archive/Detail/16391943
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摘 要：
OBJECTIVES: Although large lesions of the limbs can easily be biopsied without image guidance, lesions in the spine, paraspinal area and pelvis are difficult to target, and benefit from CT guidance to improve the accuracy of targeting the lesion for biopsy purposes. A prospective study of CT-guided core needle biopsies for deep-seated musculoskeletal lesions was conducted at a referral cancer institute over a 4-year period with the aim of assessing the safety and efficacy of the procedure. PATIENTS & METHODS: From January 2000 to December 2003, 136 consecutive CT-guided biopsy sessions were undertaken for musculoskeletal lesions in 128 patients comprising 73 males and 55 females. The following data was recorded in all patients: demographic data, suspected clinicoradiological diagnosis, data related to core biopsy session (date, site, approach, total time required in minutes, number of cores, surgeon satisfaction with adequacy of cores), patient discomfort, complications, histopathology report and number of further sessions if material obtained during the first biopsy session was not confirmatory. The sample obtained during the biopsy session was considered inconclusive if, in the opinion of the pathologist, inadequate or non-representative tissue had been obtained. The diagnosis was considered inaccurate if the final histopathological diagnosis did not match with the biopsy diagnosis, or if subsequent clinicoradiological evaluation at follow up did not correlate with the biopsy diagnosis in those patients who were treated with modalities other than surgery. RESULTS: In 121 patients, a single session was sufficient to obtain representative material, whilst for six patients two sessions, and for one patient three sessions were necessary. The time taken for biopsy, including the pre-biopsy CT examination time, varied from 15 min to 60 min (median 30 min). For 110 bony lesions 116 sessions were required, and for 18 soft-tissue lesions 20 sessions were required. 108 biopsy sessions yielded a diagnosis, whilst 28 were inconclusive (diagnostic yield of 79.41%). Of 108 diagnostic biopsies, five were considered inaccurate (accuracy rate of 95.37%). The overall diagnostic yield and accuracy rate for bony lesions were 81.03% and 95.74%; and those for soft-tissue lesions were 70% and 92.85%. There were two complications with no permanent sequelae. CONCLUSION: CT-guided core needle biopsy is a safe, easy, and effective technique for the evaluation of deep-seated musculoskeletal lesions, with a high rate of diagnostic yield and accuracy. It facilitates definitive therapy without the patient having to undergo a major surgical procedure for diagnosis.
参考中文摘要：
目的：虽然大病变肢体可以很容易地活检没有图像的指导下，在脊柱病变，椎旁地区和骨盆难以目标，并从中受益，以改善CT引导的准确性，针对病变的活检目的。的前瞻性研究CT引导下穿刺活检的深层肌肉骨骼病变进行了推介癌症研究所在4年期间，其目的是评估的安全性和有效性的程序。病人与方法：从2000年1月至2003年12月， 136个连续的CT引导下穿刺活检的会议进行了对肌肉骨骼病变128例，包括73男55女。下面的数据记录在所有患者：人口统计数据，怀疑clinicoradiological诊断，有关的数据核心活检会议（日期，地点，方式，时间要求在几分钟内，一些核心，医生满意充足的内核） ，病人的不适，并发症，病理报告和一些材料，如果进一步的会议期间取得的第一次活检会议没有确证。该期间取得的样品活检会议被认为是不确定的，如果认为该病理学家，不足或不具有代表性组织已取得。诊断被认为是不准确的，如果最后的病理诊断不符合的活检诊断，或如果随后clinicoradiological评价后续行动没有关联的活检诊断谁在这些患者治疗方式以外的其他手术。结果： 121例，单一的会议获得足够的代表性材料，同时对6例两次会议，并为一位病人三次会议是必要的。所需要的时间活检，其中包括前活检CT检查的时间，从15分钟到60分钟（中位数为30分钟） 。 110骨病变116会议需要，并为18个软组织病变20届会议的要求。 108活检会议取得了诊断，而28人仍无（诊断产量的79.41 ％ ） 。 108诊断切片，五年被认为不准确（准确率95.37 ％ ） 。总的诊断率和准确率为骨病变81.03 ％和95.74 ％ ;和软组织病变分别为70 ％和92.85 ％ 。有两个并发症没有永久的后遗症。结论： CT引导下定位穿刺活检是一种安全，简便，有效的方法，用于评价深层肌肉骨骼病变，以较高的诊断率和准确性。有利于彻底治疗的病人进行了一项重大外科手术进行诊断。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :138-43
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3
参考中文标题：
磁共振成像外观桡侧腕屈肌肌腱在收获后肌腱间韧带重建术。
作者单位：
Department of Radiology, Oklahoma University Health Sciences Center, OU Physicians Building Suite 1437, Oklahoma City, OK 73104, USA.
PMID及链接：
16365744 http://www.syyxw.com/Archive/Detail/16365744
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摘 要：
OBJECTIVE: To determine whether the post-harvest magnetic resonance (MR) imaging appearance of flexor carpi radialis (FCR) tendons, harvested during ligamentous reconstruction tendon interposition (LRTI) of the thumb carpometacarpal (CMC) joint arthroplasty, is consistent with tendon regeneration. DESIGN: Operative reports and patient medical records for all patients undergoing LRTI arthroplasty between 1995 and 2003 at our institution were reviewed. MR images of the patients' forearms and wrists were obtained and interpreted by two musculoskeletal radiologists. Using the flexor carpi ulnaris (FCU) tendon as an internal standard, the extent of FCR tendon regeneration was expressed as a percentage by dividing the volume of regenerated FCR tendon by the volume of the FCU tendon. PATIENTS: Fourteen patients who had the full thickness of the FCR tendon harvested and who were available for MR imaging were identified and included in the study. RESULTS AND CONCLUSIONS: At least partial regeneration of the FCR tendon occurred in 11 of the 14 patients (79%). Of these, 2 patients (14%), demonstrated complete, or nearly complete regeneration. Partial regeneration of the FCR tendon was seen in 9 of the 14 patients (64%). In 3 patients (21%), there was no appreciable regeneration of the FCR tendon. Among patients who underwent full-thickness harvest of the FCR tendon for LRTI arthroplasty of the first CMC joint, the follow-up MR imaging appearance of the flexor carpi radialis tendon was consistent with tendon regeneration in 79% of those examined.
参考中文摘要：
目的：确定是否收获后磁共振（先生）影像学表现桡侧腕屈肌（饲料转化率）肌腱，韧带重建期间收获肌腱间（下呼吸道感染）拇指腕掌（ CMC ）的关节置换，是符合肌腱再生。设计：执行报告和病人的所有医疗记录下呼吸道感染患者术1995年至2003年在我们的机构进行了审查。磁共振成像的患者的前臂和手腕和解释，得到两个肌肉骨骼放射。用尺侧腕屈肌（ FCU ）肌腱作为内部标准，饲料转化率的程度肌腱再生的百分比表示除以货量肌腱再生饲料转化率的音量FCU肌腱。患者： 14例谁的充分厚度收获和饲料转化率肌腱谁可用于磁共振成像确定并纳入研究。结果和结论：至少部分再生饲料转化率肌腱发生在11日的14例（ 79 ％ ） 。其中， 2例（ 14 ％ ） ，显示出完整的或近乎完整的再生。部分再生饲料转化率肌腱被认为在9 14例（ 64 ％ ） 。 3例（ 21 ％ ） ，也没有可观的再生饲料转化率肌腱。谁的患者进行全层丰收的饲料转化率为下呼吸道感染关节肌腱的第一中央军委联合，后续磁共振成像外观桡侧腕屈肌肌腱符合肌腱再生的79 ％的受访者审查。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :144-8
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4
参考中文标题：
估计前后骨盆倾斜的X -射线-比较六个参数。
作者单位：
Department of Orthopedic Surgery, Inselspital, University of Bern, Bern, Switzerland.
PMID及链接：
16365745 http://www.syyxw.com/Archive/Detail/16365745
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摘 要：
OBJECTIVE: To compare six different parameters described in literature for estimation of pelvic tilt on an anteroposterior pelvic radiograph and to create a simple nomogram for tilt correction of prosthetic cup version in total hip arthroplasty. DESIGN: Simultaneous anteroposterior and lateral pelvic radiographs are taken routinely in our institution and were analyzed prospectively. The different parameters (including three distances and three ratios) were measured and compared to the actual pelvic tilt on the lateral radiograph using simple linear regression analysis. PATIENTS: One hundred and four consecutive patients (41 men, 63 women with a mean age of 31.7 years, SD 9.2 years, range 15.7-59.1 years) were studied. RESULTS: The strongest correlation between pelvic tilt and one of the six parameters for both men and women was the distance between the upper border of the symphysis and the sacrococcygeal joint. The correlation coefficient was 0.68 for men (P<0.001) and 0.61 for women (P<0.001). Based on this linear correlation, a nomogram was created that enables fast, tilt-corrected cup version measurements in clinical routine use. CONCLUSION: This simple method for correcting variations in pelvic tilt on plain radiographs can potentially improve the radiologist's ability to diagnose and interpret malformations of the acetabulum (particularly acetabular retroversion and excessive acetabular overcoverage) and post-operative orientation of the prosthetic acetabulum.
参考中文摘要：
目的：比较6种不同的参数描述文学估计骨盆倾斜的前后骨盆X光，并创建一个简单的算图的倾斜校正假肢杯版本在全髋关节置换术。设计：前后和横向同时骨盆X光片是采取经常在我们的机构进行了分析和前瞻性。不同的参数（包括三个距离和三个比率）进行测量和比较，实际骨盆倾斜的侧线采用简单线性回归分析。患者： 104个病人（ 41男， 63岁的妇女，平均年龄31.7岁，统计处9.2年，范围15.7-59.1岁）进行了研究。结果：最强烈的相关性骨盆倾斜和一个6个参数的男子和妇女之间的距离上边界的耻骨和骶尾部联合。的相关系数为0.68 ，男性（ P “ 0.001 ）和0.61的妇女（ P ” 0.001 ） 。在此基础上的线性关系，一个算图已建立，使快速，倾斜校正杯版本测量在临床常规使用。结论：这个简单的方法，以纠正骨盆倾斜的变化对X线有可能改善放射的能力，诊断和解释畸形髋臼（尤其是髋臼retroversion和过度髋臼overcoverage ）和手术后方向假肢髋臼。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :149-55
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5
参考中文标题：
在体内评价早期疾病进展的X -射线相衬成像在佐剂性关节炎大鼠。
作者单位：
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. shenyuxi@mail.hf.ah.cn
PMID及链接：
16249900 http://www.syyxw.com/Archive/Detail/16249900
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摘 要：
PURPOSE: To study the early change of bone matrix and soft tissue around articulation in adjuvant-induced arthritic (AIA) rats non-invasively by X-ray phase-contrast imaging (XPCI), a new imaging method. MATERIALS AND METHODS: Adjuvant-induced arthritis was established in male Sprague-Dawley (SD) rats (n=6, age 40 days) by subcutaneous injection of Freund's complete adjuvant (FCA) into the left hindpaw. In vivo XPCI evaluation of the early soft tissue and bone changes in AIA rats was consecutively performed and correlated with changes in volumes of right hindpaws and body weights. In comparison, the changes in the AIA rats were also evaluated with absorption-contrast imaging using the same X-ray source as XPCI and conventional radiography at the same time. After the imaging evaluation, AIA rats were subjected to histological examination. RESULTS: There was significant difference between the score of XPCI and the other two methods in demonstrating soft tissue (P<0.01), bone details (P<0.01) and lesions (P<0.001). By day 10 after subcutaneous injection of FCA, bone changes in the right hindpaw were not obvious, but swelling of soft tissue appeared. By day 12, bone erosion in the articular facet and the area around the articular facet, was detected, along with osteoporosis, and swelling of soft tissue was aggravated. By day 14 bone erosions became fused and expanded, especially in the margin area around the articular facet. At day 16 bone erosion still existed. Joint interspaces seemed wider than normal, and swelling of soft tissue was significant. By day 18 periosteal new bone formation was seen definitely, destruction of bone decreased, bone density around the articular was enhanced, and swelling of soft tissue was relieved. XPCI could clearly distinguish all these alterations, which could not be demonstrated by absorption-contrast imaging and conventional radiography. During the test period, the volume of the right hindpaw and the body weight of the AIA rats also changed significantly compared with the normal rat. Histological examination confirmed that adjuvant-induced arthritis had occurred in all rats of the adjuvant group. CONCLUSION: Osteoporosis, bone erosion and periosteal new bone formation take place at the early stage of adjuvant-induced arthritis. XPCI can evaluate non-invasively these subtle bone changes that are "blind areas" for conventional radiography.
参考中文摘要：
目的：研究早期改变骨基质和关节周围软组织的佐剂性关节炎（友邦）大鼠非侵入性的X射线相衬成像（ XPCI ） ，一种新的成像方法。材料与方法：佐剂性关节炎成立于雄性Sprague - Dawley （ SD ）大鼠（每组6只，年龄40天）皮下注射弗氏完全佐剂（ FCA术语）到左后肢。在体内XPCI评价早期软组织和骨骼的变化友邦大鼠连续演出和相关的变化，大量的权利hindpaws和体重。相比之下，改变友邦大鼠还评价与吸收成像使用相同的X射线源作为XPCI和常规X线摄影在同一时间。影像学评价后，友邦保险大鼠受到组织学检查。结果：有显着性差异的分数XPCI和其他两种方法在显示软组织（ P “ 0.01 ） ，骨细节（ P ” 0.01 ）和病变（ P “ 0.001 ） 。 10天之后，皮下注射禁区，骨的变化在右后肢不明显，但肿胀的软组织出现了。由第12天，骨侵蚀的关节面和周围地区关节面被发现，随着骨质疏松症和软组织肿胀加剧。由14天骨侵蚀成为融合和扩大，特别是在边缘周围关节面。 16天骨质侵蚀依然存在。更广泛的联合interspaces似乎比正常的，软组织肿胀明显。每天18骨膜新骨形成，看到肯定，破坏骨减少，骨密度关节周围加强了，和肿胀的软组织被解除。 XPCI可以明确区分所有这些改变，它不能表现出吸收对比成像和常规X线摄影。在测试期间，音量权后肢和体重的友邦也有重大变化大鼠与正常大鼠。组织学检查证实，佐剂性关节炎发生的所有大鼠佐剂组。结论：骨质疏松，骨侵蚀和骨膜新骨形成发生早期佐剂性关节炎。 XPCI可以评价非侵入性骨这些微妙变化，是“盲区”的常规X线摄影。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :156-64
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6
参考中文标题：
不寻常的变异intraneural节腓总神经。
作者单位：
Douglass Hanly Moir Pathology, Macquarie Park, NSW, Australia. fbonar@dhm.com.au
PMID及链接：
16365746 http://www.syyxw.com/Archive/Detail/16365746
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摘 要：
A highly unusual variant of an intraneural ganglion of the common peroneal nerve in a 30-year-old male is presented. There was extrusion of the contents of the cyst into the substance of the nerve, dissecting between the fibres and expanding the nerve in such a way that it mimicked an intraneural tumour clinically, radiologically and histologically. A comprehensive review of the entity is undertaken.
参考中文摘要：
一种很不寻常的变异的intraneural节腓总神经在30岁的男性提出。有挤压的内容囊肿的实质神经，夹层之间的纤维和扩大神经以这样一种方式，它模仿了intraneural肿瘤临床， X线和病理。全面审查的实体进行。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :165-71
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7
参考中文标题：
利用磁共振造影，以文件的隐性联合通信经常腓intraneural节。
作者单位：
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN 55905, USA. spinner.robert@mayo.edu
PMID及链接：
16333654 http://www.syyxw.com/Archive/Detail/16333654
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摘 要：
The pathogenesis of intraneural ganglia remains controversial. Only half of the reported cases of the most common type, the peroneal nerve at the fibular neck, have been found to have pedicles connecting the cysts to neighboring joints detected with preoperative imaging or intraoperatively. We believe that all intraneural ganglia arise from joints, and that radiologists and surgeons need to look closely preoperatively and intraoperatively for connections. Not identifying these connections with imaging and surgical exploration has led not only to skepticism about an articular origin of the cyst, but also to a high recurrence rate after surgery. We present a patient who had two recurrences of a peroneal intraneural ganglion in whom a joint connection was not detected on previous MRIs and operations. Reinterpretation of the original films and high-resolution MRI demonstrated an "occult" joint connection to the superior tibiofibular joint. MR arthrography performed after exercise and 1 h delay, however, clearly showed the connection and communication. The joint connection was then confirmed at surgery through an articular branch. Postoperatively the patient regained nearly normal neurologic function, and follow-up MRI showed no cyst recurrence. MR arthrography with delayed imaging should be considered in cases of intraneural ganglia when a joint connection is not obvious on MRI.
参考中文摘要：
发病的intraneural节仍然有争议。只有一半的报告的案件中最常见的类型，腓总神经在腓骨颈，已发现有囊肿蒂连接邻近关节成像检测术前或术。我们认为，所有intraneural节源于关节，和放射科和外科医生说，需要密切关注，术前和术中的连接。不能确定这些连接成像和手术探查不仅导致怀疑的关节囊肿起源的，但也高手术后复发率。我们提出一个病人谁有两个复发的腓总神经在其中intraneural联合连线上未检测到以前的核磁共振和行动。再原来的电影，高清晰度的MRI表现出一种“隐性”联合连接到上级胫腓关节。 MR关节造影表现和运动后1小时延误，但是，清楚地表明，连接和通信。联合连接，然后通过手术证实的关节处。术后病人恢复接近正常的神经功能，并采取后续行动的MRI未见囊肿复发。 MR关节造影延迟显像中应考虑案件时intraneural节联合方面没有明显的MRI 。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :172-9
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8
参考中文标题：
脂肪坐骨神经：典型及非典型MRI表现。
作者单位：
Mayo Clinic School of Medicine, Rochester, MN 55905, USA.
PMID及链接：
16283177 http://www.syyxw.com/Archive/Detail/16283177
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摘 要：
Lipomatosis of nerve, also known as fibrolipomatous hamartoma, is a rare condition of nerve, usually affecting the median nerve. The MRI appearance is characteristic. We describe two cases of lipomatosis of nerve involving the sciatic nerve, an extremely unusual location for this lesion, in patients with sciatic neuropathy. These cases share the typical features previously described in the literature for other nerves, but also contain atypical features not previously highlighted, relating to the variability in distribution and extent of the fatty deposition. Recognition of the MRI appearance of this entity is important in order to avoid unnecessary attempts at surgical resection of this lesion.
参考中文摘要：
脂肪的神经，也被称为fibrolipomatous错构瘤，是一种罕见的神经条件，通常影响正中神经。是的MRI表现特征。我们描述了两起涉及脂肪神经坐骨神经，一个极其不寻常的位置，此病变，患者坐骨神经病变。这些案件的典型特征份额以前的文献中所描述的其他神经，而且还包含以前没有非典型特点突出，有关变异的分布和程度的脂肪沉积。承认MRI表现这个实体是重要的，以避免不必要的尝试这种手术切除病变。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :180-4
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中文提供：
9
参考中文标题：
同步intracortical adamantinomas囊肿与角蛋白的形成。
作者单位：
Department of Pathology, College of Medicine, Kyung Hee University Hospital, 1 Hoeki-dong, Dongdaemoon-gu, Seoul, South Korea. ykpark@khmc.or.kr
PMID及链接：
16217667 http://www.syyxw.com/Archive/Detail/16217667
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摘 要：
Adamantinoma of the long bones is a rare primary bone tumor of uncertain embryogenesis. It tends to involve the tibia almost exclusively. We report on adamantinomas occurring in a 16-year-old male patient, with synchronous tibial and fibular lesions. Histologically, there were characteristic clusters of epithelial cells in a fibrous background, forming a keratin cyst. Immunohistochemically, these cells were strongly positive for cytokeratin. This keratin cyst formation is quite an unusual finding in classic adamantinoma.
参考中文摘要：
造釉的长骨是一种罕见的原发性骨肿瘤的不确定胚胎。它往往涉及胫骨几乎完全。我们报告adamantinomas发生在一个16岁男性病人，同步胫骨和腓骨病变。组织学上，有特色集群上皮细胞在纤维背景下，形成角质囊肿。免疫组化，这些细胞被强烈阳性细胞。这种角蛋白形成囊肿是相当不寻常的发现，典型的造釉。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :185-9
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中文提供：
10
参考中文标题：
病例报告：转移性造釉胫骨-一个不同寻常的简报。
作者单位：
Bone and Soft Tissue Unit, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
PMID及链接：
16402219 http://www.syyxw.com/Archive/Detail/16402219
全文链接：
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摘 要：
A 26-year-old female with a tibial lesion diagnosed as an adamantinoma was treated with intra-lesional curettage, bone grafting and intra-medullary nailing. Six years post-surgery, she presented with an asymptomatic primary site but with a metastatic lesion in the mid-shaft of the ipsilateral femur and lung metastases. The femoral lesion was treated with wide excision and reconstructed with an allograft and plate fixation. Pulmonary metastatectomy was carried out for the lung lesions. A follow-up CT scan of the chest at 1 year after the surgery for the metastatic lesions revealed fresh unresectable bilateral metastases. Although cases of local recurrences and pulmonary metastases in adamantinoma are reported, this case is unusual in presenting without a local recurrence but with simultaneous skeletal and pulmonary metastases.
参考中文摘要：
一名26岁的女性与胫骨病变的诊断治疗与造釉内病灶刮除，植骨融合和内髓钉。 6年手术后，她提出一个无症状，但原发部位的转移灶中端轴同侧股骨和肺转移。股骨病变治疗广泛切除和重建的移植和钢板内固定。肺metastatectomy进行的肺部病变。一个后续CT扫描胸部在1年后，手术发现新的转移灶不能双边转移。虽然例局部复发和肺转移的造釉的报告，这种情况是不寻常的提出没有局部复发，但同时骨骼和肺转移。
出 处：
Skeletal radiology. 2006 Mar ,35 (3) :190-3
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中文提供：
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