骨扫描 SPECT/CT 证实胫骨前插入处内侧楔骨骨样骨罕见病例。
A Rare Case of Osteoid Osteoma of the Medial Cuneiform Bone at Tibialis Anterior Insertion Confirmed by Bone Scan SPECT/CT.
发表日期：2024 Oct 10
作者：
Pegah Sahafi, Ramin Sadeghi, Alireza Mousavian
来源：
CLINICAL NUCLEAR MEDICINE
摘要：
一名 34 岁男性出现进行性足部疼痛，最初位于内侧软组织，但最终局限于中足内侧。尽管经过两年多的各种影像学检查和保守治疗，患者仍未得到诊断。 6个月后，观察到内侧楔骨软组织和骨受累。针吸活检没有得出结论。由于骨肿瘤在内侧楔骨中很少见，因此患者被转诊至我科进行99mTc-MDP骨扫描。影像学和临床结果提示骨样骨瘤是可能的诊断，经过手术切除和病理检查，证实为胫骨前附着处的关节内病灶。版权所有 © 2024 Wolters Kluwer Health, Inc. 保留所有权利。
A 34-year-old man presented with progressive foot pain that was initially on the medial soft tissue but eventually localized to the medial side of midfoot. Despite undergoing various imaging tests and conservative treatments over 2 years, the patient remained undiagnosed. After 6 months, soft tissue and bone involvement were observed on the medial cuneiform. A needle biopsy was inconclusive. Since bone tumor is rare in the medial cuneiform, the patient was referred to our department for 99mTc-MDP bone scan. The imaging and clinical findings suggested osteoid osteoma as the likely diagnosis, which was confirmed as intraarticular nidus under tibialis anterior attachment, after surgical resection and pathological examination.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.