@article{oai:hsuh.repo.nii.ac.jp:00007131, author = {金子, 昌幸 and 高野, 英明 and 米田, 修子 and 細川, 洋一郎 and 筧, 弘毅 and KANEKO, Masayuki and TAKANO, Hideaki and YONETA, Shuko and HOSOKAWA, Yoichiro and KAKEHI, Hirotake}, issue = {1}, journal = {東日本歯学雑誌}, month = {Jun}, note = {P(論文), 24歳の女性に認められたcraniofacial fibrous dysplasiaの検索に際して,病変の範囲を確認する目的で,CT検査と超音波検査を行った。また,病変が単骨peであるか多骨性であるかを鑑別するために^<99m>TC標識methylene diphosphonateによる骨シンチグラフィーを実施した.CT検査により,右側下顎骨に存在する嚢胞様病変と右側上顎骨に存在する骨性病変が明かにされた。また,骨性病変の著しい増大による右側上顎洞と右側篩骨洞の縮小も明らかとなった。超音波検査では,病変の細部にわたる観察は不可能であったが,右側上顎骨における骨性病変の存在と,右側下顎骨の著しい膨隆を確認することが可能であった。骨シンテグラフィーでは,顎顔面領域に強い陽性像を認めるものの,その他の骨格系には何らの異常も認められなかった。従って,本症例は,polyostotic fibrous dysplasiaの1型であるcraniofacial fibrous dysplasiaであるとの鑑別が可能であった。, In diagnosing craniofacial fibrous dysplasia observed in a 24-year-old woman, computed tomography and ultrasound study were used to define the extent of the bony lesions. Bone scintigraphy with ^<99m>Tc labeled methylene diphosphonate was also carried out to differentiate the disease to be monostotic or polyostotic. The sagittal and coronal scan CT images showed a monocystic bony lesion with a mottled appearance in the right mandible, which was growing toward the ramus. The axial scan CT images demonstrated a thickened ramus in the right mandible, an expansible bony lesion in the right maxilla, an increased osseous mass occupying the almost half of the right maxillary sinus, and the almost entirely closed right ethmoidal sinus. Expansible diploe in the right side of the patient's skull was also observed. The ultrasound images with axial scans revealed an expansible lesion in the right mandible and an osseous mass in the right maxilla. The bone scan images showed no abnormalities in the whole body skeleton except for the remarkable uptakes in the craniofacial regions.}, pages = {59--67}, title = {Computed Tomography and Ultrasound Study in Craniofacial Fibrous Dysplasia}, volume = {3}, year = {1984} }