Case report 760
Case report 760
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病例报告760
DOI：
10.1007/bf00195240
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发表时间：
2004
影响因子：
2.1
通讯作者：
K. Krishnan Unni
中科院分区：
文献类型：
--
作者：
F. Sim;E. Devries;J. Miser;K. Krishnan Unni
1990年6月首次见到一名15岁女孩，右膝疼痛3个月。临床检查发现胫骨近端内侧有一软组织肿块。她身材矮小，皮肤萎缩，色素沉着过度，拇指发育不良。X线片显示右侧胫骨近端区域有破坏性病变，表现为混合性硬化和溶解性病变（图1）。胸部X光片和肺部计算机断层扫描（CT）结果正常。然而，骨扫描显示右肱骨近端和左腓骨远端的摄取增加。X线片显示右肱骨近端和左腓骨远端有破坏性的骨损伤（图1和图2）。第2、3段）。对右侧胫骨近端病变进行了活检。
A 15-year-old girl with a 3-month history of pain in her right knee was first seen in June 1990. Clinical examination revealed a soft-tissue mass over the medial aspect of the proximal end of the tibia. She was short of stature and had atrophic skin changes with hyperpigmentation and aplastic thumbs. Roentgenograms showed a destructive lesion in the proximal area of the right tibia, with a mixed sclerotic and lytic appearance (Fig. 1). The results of a chest roentgenogram and computed tomography (CT) scan of the lungs were normal. However, a bone scan showed increased uptake in the proximal area of the right humerus and the distal end of the left fibula. Roentgenograms showed a destructive sclerotic lesion in the proximal area of the right humerus and the distal end of the left fibula (Figs. 2, 3). A biopsy of the right proximal tibial lesion was performed.