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病例报告:女性,61岁。既往一向健康,15个月前因下背部钝痛而摄片,诊断为“下背综合征”,经卧床、注射强的松及理疗未减轻。15个月后因下背部仍不适第2次照片示骨质普遍性稀疏。腰椎体左侧有较大的溶骨性病灶,左椎弓根消失,复习早期时照片已有一较小的溶骨灶。骨扫描(~(99m)Tc-二磷酸盐)示腰_1放射性核素浓集,而在腰_3溶骨性病灶处为放射性缺损。为排除骨髓瘤做了有关检查,除血清碱性磷酸酶明显升高外,余阴性。CT检查,证明肿瘤已破坏腰_3左侧椎弓根及椎体
Case report: Female, 61 years old. She was always healthy. She was diagnosed as “lower back syndrome” 15 months ago because of dull pain in the lower back. He was not relieved after bedridden, injection of prednisone, and physical therapy. After 15 months, the lower back is still unwell. The second photo shows that the bone mass is sparse. On the left side of the lumbar spine, there is a large osteolytic lesion and the left pedicle disappears. At the early stage of the review, there was a smaller osteolytic lesion. The bone scan (~(99m)Tc-diphosphate) showed lumbar_1 radionuclide concentration, whereas in the lumbar_3 osteolytic lesion it was a radioactive defect. In order to exclude myeloma from the examination, serum alkaline phosphatase was significantly elevated and the remaining was negative. CT examination to prove that the tumor has damaged the left vertebral pedicle and vertebral body