多骨型纤维异样增殖症: 一个有争议的病例的影像学结果
- 作者: De Michele F.1,2, Carpagnano F.A.1,2, Paparella M.T.1,2, Guglielmi G.1,2,3
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隶属关系:
- Department of Clinical and Experimental Medicine, Foggia University School of Medicine
- Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital
- Radiology Unit, Hospital “Casa Sollievo Della Sofferenza”, San Giovanni Rotondo
- 期: 卷 3, 编号 1 (2022)
- 页面: 55-63
- 栏目: 临床病例及临床病例的系列
- URL: https://journals.rcsi.science/DD/article/view/88605
- DOI: https://doi.org/10.17816/DD88605
- ID: 88605
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详细
纤维异样增殖症是一种罕见的肿瘤样良性先天性骨病,最可能与GNAS基因突变有关,临床表现范围广泛,从孤立的单骨和多骨形式至其他骨骼外表现(McCune-Albright综合征)。由于这些变化,骨脆性增加,骨折的风险更高。
本文描述了一名65岁的患者,她因主诉颈部和背部疼痛而入住我们的放射科。此前,该患者被诊断为颈部和胸部骨骼病变,疑似转移。在我科,该患者先前被诊断为纤维异样增殖症,随后通过X射线、计算机断层扫描和磁共振成像确认。最终诊断是基于骨活检的结果。
因此,纤维异样增殖症主要损坏骨骼,正常骨骼被发育不良的纤维组织取代。根据受影响骨骼的数量和相关的内分泌变化,可以区分三种形式的疾病:单骨、多骨和奥尔布赖特综合征。除其他外,鉴别诊断包括多发性骨髓瘤。选择了最佳治疗方法。
作者简介
Francesca De Michele
Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital
Email: francesca.demichele82@gmail.com
ORCID iD: 0000-0002-6043-6362
意大利, Foggia; Foggia
Francesca A. Carpagnano
Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital
Email: c.francesca1991@gmail.com
ORCID iD: 0000-0001-7681-2898
意大利, Foggia; Foggia
Maria T. Paparella
Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital
Email: mt.paparella@gmail.com
ORCID iD: 0000-0003-2573-9509
意大利, Foggia; Foggia
Giuseppe Guglielmi
Department of Clinical and Experimental Medicine, Foggia University School of Medicine; Radiology Unit, Barletta University Campus UNIFG, “Dimiccoli” Hospital; Radiology Unit, Hospital “Casa Sollievo Della Sofferenza”, San Giovanni Rotondo
编辑信件的主要联系方式.
Email: giuseppe.guglielmi@unifg.it
ORCID iD: 0000-0002-4325-8330
Medical Doctor, Full Professor of Radiology, Department of Clinical and Experimental Medicine.
意大利, Foggia; Foggia; Foggia参考
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