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骨的腺泡状肉瘤甚为少见,我们遇见2例均误诊为骨结核,现报告如下: 例1:男性,23岁。因摔倒后腰痛数日逐渐加重,于1986年12月2日住院。腰痛以夜间、着凉后加重。曾在某医院拍X线片并诊断“腰椎结核”,应用链霉素1个月无好转。既往体健,无结核病史。查体:T、p、R、BP均正常。表浅淋巴结未触及,心肺正常,四肢无畸形。骨科情况:腰生理前突消失,腰2棘突后突畸形,有压痛,腰活动受限,右侧腰三角部稍膨隆,软,无压痛。X线:第2腰椎椎体呈楔状压缩性改变,骨密度增高并有囊性变,边缘凹凸不平,右侧椎体塌陷,左侧椎体
Alveolar sarcoma of the bone is very rare. We encountered two cases of misdiagnosis of bone tuberculosis. The report is as follows: Example 1: Male, 23 years old. After a fall, low back pain gradually worsened for several days and was hospitalized on December 2, 1986. Back pain worsens at night and after a cold shower. He had taken an X-ray at a hospital and diagnosed “lumbar tuberculosis”. No improvement was seen in the use of streptomycin for one month. Past health, no history of tuberculosis. Physical examination: T, p, R, BP were normal. The superficial lymph nodes are not palpable, the heart and lungs are normal, and the limbs are not deformed. Orthopaedic situation: Lumbar physiology before the sudden disappear, lumbar 2 spinous process after the sudden deformity, tenderness, waist activity is limited, the right lumbar triangle slightly bulging, soft, no tenderness. X-ray: The second lumbar vertebral body showed a wedge-shaped compressive change, increased bone density and cystic degeneration, uneven edges, collapse of the right vertebral body, left vertebral body