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骨转移癌自 Samason 氏1834年首次报告后,国内外学者曾有多次报道,但甲状腺癌骨转移致脊髓压迫症的报道不多。本文就我院收治五例结合文献复习报告如下:病历摘要例1男。44岁,3个月来无何诱因腰痛,双下胶麻木,活动受限,逐渐运功功能丧失,尿便失禁。既往患“肺结核”.1977年10月入院。检查:发育正常.浅表淋巴结无肿大,甲状腺正常,心肺肝脾检查正常.胸4-5椎体轻度后突畸形,有压痛,截瘫平面位乳线下3厘米,膝及跟腱反射消失,病理反射存在,两下肢呈软瘫.截瘫指数6,血常规正常.尿中红白细胞少许.肝功正常.X 线片示胸5棘突及右椎弓根,第4.5肋骨头均呈溶骨性改变,椎体呈一致性压缩塌陷而楔
Since bone metastasis cancer was first reported by Samason’s in 1834, many scholars at home and abroad have reported it several times. However, there have been few reports of spinal cord compression caused by thyroid cancer. In this article, we reviewed the five cases combined with the literature review in our hospital as follows: Case summary 1 male. 44-year-old, no cause for low back pain in 3 months, double under plastic numbness, limited activity, gradually lost function, urinary incontinence. Previously suffering from “tuberculosis” was admitted to hospital in October 1977. Examination: normal development. No superficial enlargement of the lymph nodes, normal thyroid gland, normal heart, lung, spleen, and normal examination. Mild kyphosis on the thoracic 4-5 vertebrae, tenderness, 3 cm below the level of the paraplegia, and knee and Achilles tendon reflexes. Disappearance, pathological reflexes, soft palate in both lower extremities, paraplegia index 6, normal blood routine, a little red blood cells in urine, normal liver function, X-ray showed chest 5 spinous processes and right pedicles, 4.5th ribs were presented Osteolytic change, the vertebral body showed a uniform compression collapse and wedge