RESUMEN
Multiple osteochondromatosis can become malignant in 20% of the cases, this being more common when the lesion is multiple than when it is solitary. A male patient with multiple osteochondromatosis who had several local recurrences of secondary chondrosarcoma and who is still under follow-up by the Nuclear Medicine Department is presented. The bone scintigraphy findings were compared with the histopathologic results, and the importance of the patient's symptoms was verified when a sarcomatous transformation is suspected. The bone scintigraphy has the potential to detect malignization of the benign bone lesions. It also makes it possible to obtain whole-body images in a single examination, this being very useful to detect the presence of new bone lesions.
Asunto(s)
Pared Abdominal/diagnóstico por imagen , Neoplasias Óseas/diagnóstico por imagen , Nalgas/diagnóstico por imagen , Condrosarcoma/secundario , Exostosis Múltiple Hereditaria/diagnóstico por imagen , Ilion/diagnóstico por imagen , Recurrencia Local de Neoplasia/diagnóstico por imagen , Neoplasias de los Tejidos Blandos/secundario , Adulto , Biopsia , Neoplasias Óseas/etiología , Neoplasias Óseas/patología , Condrosarcoma/diagnóstico por imagen , Condrosarcoma/etiología , Condrosarcoma/patología , Progresión de la Enfermedad , Reacciones Falso Positivas , Humanos , Masculino , Recurrencia Local de Neoplasia/cirugía , Cintigrafía , Neoplasias de los Tejidos Blandos/diagnóstico por imagen , Tibia/irrigación sanguínea , Tibia/diagnóstico por imagen , Tibia/patología , Imagen de Cuerpo EnteroRESUMEN
La osteocondromatosis múltiple puede malignizar hasta en un 20% de los casos, siendo mucho más frecuente que cuando la lesión es solitaria. Presentamos el caso de un paciente con osteocondromatosis múltiple que ha presentado varias recidivas locales de un condrosarcoma secundario en años sucesivos y que sigue controles gammagráficos en nuestro servicio. Los hallazgos de la gammagrafía ósea se compararon con los resultados anatomopatológicos y se comprobó la importancia de la sintomatología del paciente ante la sospecha de transformación sarcomatosa. La gammagrafía ósea puede aportar datos sobre la posible malignización de las lesiones benignas y permite obtener imágenes de cuerpo completo en una sola exploración, siendo muy útil ante la aparición de nuevas lesiones(AU)
Multiple osteochondromatosis can become malignant in 20% of the cases, this being more common when the lesion is multiple than when it is solitary. A male patient with multiple osteochondromatosis who had several local recurrences of secondary chondrosarcoma and who is still under follow-up by the Nuclear Medicine Department is presented. The bone scintigraphy findings were compared with the histopathologic results, and the importance of the patients symptoms was verified when a sarcomatous transformation is suspected. The bone scintigraphy has the potential to detect malignization of the benign bone lesions. It also makes it possible to obtain whole-body images in a single examination, this being very useful to detect the presence of new bone lesions(AU)
Asunto(s)
Humanos , Masculino , Adulto , Osteocondromatosis , Osteocondroma , Exostosis , Medronato de Tecnecio Tc 99m , Diagnóstico Diferencial , Recurrencia Local de Neoplasia , Exostosis/epidemiología , Exostosis Múltiple HereditariaRESUMEN
We present the case of a 39 year old woman with a several year long history of palmoplantar pustulosis and occasional pain in the anterior wall of the thorax, lumbar spine and both sacroiliac joints. As a consequence of low grade fever, severe sternoclavicular pain and discomfort and swelling in the first left rib arches, the patient was admitted to hospital. Based on the clinical, radiologic, scintigraphic and cutaneous findings, the SAPHO syndrome was diagnosed. Bone scintigraphy is an accurate and early diagnostic test for this syndrome which also provides the advantage of being able to obtain a whole body scan.
Asunto(s)
Síndrome de Hiperostosis Adquirido/diagnóstico por imagen , Adulto , Femenino , Humanos , Radiografía , CintigrafíaRESUMEN
Colonic affectation in the context of acute pancreatitis is undoubtedly a rare complication to judge from the number of cases reported in the literature, but its appearance is increasing, perhaps because it is receiving more attention. The "infrequent" complications of so-called acute pancreatitis range from massive necrosis of the colon to fistula of the transverse colon, colonic stricture as a chronic manifestation and finally, colonic varices as a sign of segmental portal hypertension due to involvement of the mesenteric portal axis. A retrospective study was made of 6 cases treated in our General and Digestive Surgery Department and the literature on this etiopathogenic situation was reviewed to study the clinical manifestations, diagnosis and treatment of these uncommon complications. We propose minimal catheter jejunostomy as a technique for the prevention and treatment of possible complications, with epidural analgesia of these patients.