Пол пациента:
Тип патологии:
Область исследования:
Методы исследования:
Ваше мнение уважаемые коллеги. Анамнез практически неизвестен, возраст пациента 28 лет, жалобы на боль в области левого ТБС с иррадиацией в левую ногу в покое.
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МСКТТБС ID:59414
Цель публикации:
Ваши мнения
АНГБК с двух сторон.
Возраст. Согласна с асептическим. А вот склеротическая штучка в крыле левой подвздошной кости очень любопытная) наверное, липомочка.
https://www.youtube.com/channel/UCBGxoBUOqUT_bFhSeUgtWEw
А в крыле подвздошной кости (с изменением контура наружной кортикальной пластины) слева и в в/3 диафиза правой большеберцовой 2 похожих образования, как объяснить? В мягкотканном режиме в левом суставе жидкость. Пациенту 28 лет. P.S. 1й аккаунт с исследованием на моем рабочем компьютере, не хочется рисковать основной учеткой)))
АНГБК откуда взялся с двух сторон? Явно не от хорошей жизни, нужен анамнез. Как вариант пациент лечил онкологию, АНГБК как осложнение лечения, а эти очажки метастазы.
Терпимость - это когда прощают чужие ошибки; такт - когда не замечают их. (Артур Шницлер)
Нет уж, крыло слева и бедренная справа - две большие разницы, структуры - особенно. Справа склерозирование по ходу сосудистого канала, а метастазов нет и в помине. Про причины - вот уж онкология тут совершенно никаким боком: АНГБК развивается на фоне применения кортикостероидов, травмы сустава, злоупотребления алкоголем, на фоне даже панкреатита, серповидноклеточной анемии, ионизирующей радиации, СКВ. Либо без причины - идиопатически. А двустороннее поражение встречается до 50% случаев.
Про изменение кортикала в крыле - не увидела.
https://www.youtube.com/channel/UCBGxoBUOqUT_bFhSeUgtWEw
А не может ли в пр.бедренной кости быть НОФ (неоссифицируещая фиброма) - субкортикально, продолговатой формы, толстый склеротический ободок? А вот в крыле левой подвздошной кости первая мысль остеоид-остеома или остеобластома - центральное "гнездо" остеосклероза с венчиком просветления... правда наружный ободок остеосклероза вроде не очень вписывается...
Анамнеза Rg нет, обратился к травматологу, тот направил на КТ ТБС, никакую медикаментозную терапию не получал.