小儿神经母细胞瘤骨转移

SKELETAL METASTASIS OF NEUROBLASTOMA IN INFANTS AND CHILDREN

通过X线检查,详细观察了小儿神经母细胞瘤(NB)骨髓转移前后骨破坏的程度及好发部位。结果发现,NB骨转移先于骨髓转移,多数伴有发热、骨痛、血沉快、抗“O”高,极易误诊为风湿热、骨髓炎或风湿性关节炎。本组拍骨片111例次,骨转移56例次,转移部位以骨盆及双下肢最多见,为35例次。

The extent of the skeletal damage before or after bone marrow metastasis and the common sites of the lesion in neuroblastoma of infants and children were Observed by X-ray examination. The results showed that the skeletal metastasis was earlier than tone marrow metastasis. Most of the patients were accomranied by fever, ostealgia, increased ESR and ASO. Neuroblastoma is eaily misdiagnosed as rheumatic fever, rheumatic arthritis and osteomyelitis. In this study, there were 56 cases of skeletal metastasis found in 111 X-ray examinations of NB.The pelvis and lower extremeties were the most common affected sites, 35 cases were found metastasis there.