【2017年整理】骨纤维异常增殖症.ppt

骨纤维异常增殖症;定义;;;分型;其他分类;可发生于全身任何骨骼，以四肢长管状骨，尤以股骨最多见，其次是肋骨、颅面骨 ;病理改变;临床表现;伴有病理性骨折;X线表现;单骨型及多骨型;;CT表现;;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;MR表现;;;;;;;;;;;;;患者女，25岁，主因右下肢不适就诊;;;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;患者女性，40岁;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;鉴别诊断;骨化性纤维瘤是一种少见的原发性良性骨肿瘤，可累及全身骨骼，其中85%累及面骨，以下颌骨多见，长管状骨少见。好发部位为胫腓骨，仅占原发性骨肿瘤的0.7% 影像学与骨纤维异常增殖症表现极易混淆，好发于胫骨骨干中上段的前缘，少数可同时发生于腓骨的中下段。病灶位于骨皮质内，呈溶骨性骨质破坏，密度常不均匀，骨皮质变薄，內缘消失，髓腔变窄，病变部位无疼痛感，但略增粗，常向前轻度弯曲，无软组织肿块。 ;单纯骨囊肿 单纯性骨囊肿呈边缘光整的椭圆形透亮区，单发，好发于干骺端或长骨的中央，患骨呈对称性膨胀，密度均匀，较低。可和囊状或毛玻璃状骨纤维异常增殖症混淆。总体来讲，骨纤维异常增殖症密度较高，患骨呈不对称性膨胀，且可多发。 ;骨佩吉特病 主要侵犯骨皮质，病变范围较大，致骨皮质增厚，密度降低，骨小梁模糊，如发生在颅骨，骨纤维异常增殖症可侵犯颅底骨，本病主要是外骨板增厚，且临床表现差别更大，常发生于老年人，可有头颅增大及颅神经症状。 ;骨扫描;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;;在WHO(2002)新的骨肿瘤和肿瘤样病变