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“假性”骨转移是什么状况?

2022-05-02 00:12:41 来源: 宜春白癜风医院 咨询医生

Bone pseudo-metastases in superior vena ca syndrome

Author(s):Rodrigues T; Gomes A; Gonçalves, A; Fonseca, J;

DOI: 10.1594/EURORAD/CASE.12463

上腔腹腔综合征致”假性“骨转移(Bone pseudo-metastases in superior vena ca syndrome)。

CLINICAL HISTORY:

临床阿兹海默:

A 46-year-old woman with history of rectal cancer stage IV diagnosed in 2013, treated with an anterior rectal resection followed by adjuvant chemo and radiotherapy. She had done multiple chemotherapy treatments to the present date. The disease had metastasized to her lungs but no other sites of metastasis were documented.

病患女,46岁;2013年确诊为直肠癌IV期,接受了手术、辅助放肌肉注射,以外已经做了多次肌肉注射,发现肺部转移但未发现其它部位转移。

胸部CT进一步提高安全检查:

图1:Innonimate veins obstruction(无名腹腔上行)

Contrast-enhanced coronal reformatted CT image showing occluded innominate veins (red arrow). There is a chemotherapy catheter placed through the right innominate vein (white arrow).

进一步提高CT冠状位拆分行无名腹腔上行(E-);左方无名腹腔内肌肉注射静脉确保安全(白箭)。

图2:Triangular shaped vertebral uptake

Left: unenhanced scan showing no notorious changes of vertebral bodies atenuation (red arrows); Right: post-contrast images with triangular shaped uptake centered to basivertebral foramen (red arrows), secondary to venous stasis and colaterals (white arrowheads)

左图:平扫CT显行楔体电导率无突出推移(E-); 右图:进一步提高后图像显行楔体的楔基底腹腔七区的六边形的电导率增高(E-),全身性的腹腔淤滞和侧支腹腔全站(白箭头)。

图3:Triangular shaped vertebral uptake - Sagital reconstruction。矢状位拆分图行,楔体下缘六边形的电导率增高。

Post-contrast sagital reconstructions showing vertebral bodies triangular shaped uptake centered to basivertebral foramen (red arrows)

进一步提高后矢状位拆分图行楔体下缘楔基底腹腔深褐色六边形低质量。

FINAL DIAGNOSIS:Pseudo-bone metastasis (vertebral plexus vascular congestion)

最终确诊:“假性”骨转移(楔腹腔丛血管水肿)。

注:Pseudo-bone metastasis , 意译为”假性“骨转移,请各位备有更专业的翻译词,谢谢!!!

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