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患者男,50岁,腰痛3月余,双下肢瘫痪20天。X 线检查:腰椎未见异常,右股骨下端骨破坏。MRI:胸椎11椎板占位性病变。临床以可疑骨转移瘤收入院。入院后行放射性核素全身骨显像,可见:额骨,顶骨,右前肋2、5、6、7,左前肋9、10,右后肋5、8及左骶髂关节等处有放射性浓聚灶;胸椎11、12,右骶髂关节,双膝关节及双踝关节分别可见一中间放射性减低、周边不均匀放射性增高的类环形改变;四肢骨放射性增高,尤以股骨及胫
Male patient, 50 years old, back pain more than 3 months, double paralysis of lower limbs 20 days. X-ray examination: no abnormal lumbar, right lower extremity bone destruction. MRI: 11 cases of thoracic vertebral space occupying lesions. Clinical suspicious bone metastases income hospital. After admission, the whole body radionuclide bone imaging, visible: the frontal bone, parietal bone, right anterior rib 2,5,6,7, left anterior rib 9,10, right posterior rib 5,8 and left sacroiliac joints and other places have radioactive concentration Polycage; thoracic 11, 12, right sacroiliac joint, double knee and double ankle joint were reduced in the middle of a radioactive, peripheral uneven radioactive ring-like changes; increased extremity bone radioactivity, especially in the femur and shin