宁夏石砚子墓地颅骨缺损个体的古病理学

张群; 王晓阳; 叶惠媛; 张全超

doi:10.16359/j.cnki.cn11-1963/q.2020.0050

人类学学报 >

2020 , Vol. 39 >Issue 04: 586 - 598

DOI: https://doi.org/10.16359/j.cnki.cn11-1963/q.2020.0050

宁夏石砚子墓地颅骨缺损个体的古病理学

张群 ,
王晓阳 ,
叶惠媛 ,
张全超

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1.吉林大学边疆考古研究中心,长春 130012
2.新加坡南洋理工大学人文学院,新加坡 639818
3.宁夏回族自治区文物考古研究所,银川 750001
4.吉林大学考古学院,长春 130012

张群 (1991-), 博士,研究员, 主要从事生物考古学研究。E-mail: z.qun@outlook.com

收稿日期: 2020-07-24

修回日期: 2020-08-27

网络出版日期: 2020-11-04

基金资助

教育部人文社会科学重点研究基地重大项目“宁夏地区新石器—汉代居民体质人类学的综合研究”(15JJD780004);新加坡南洋理工大学初创研究基金(NAP Grant)

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Paleopathological study on the skeleton with cranial lesion from the Shiyanzi Cemetery in Ningxia

Qun ZHANG ,
Xiaoyang WANG ,
Huiyuan YEH ,
Quanchao ZHANG

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1. Research Center for Chinese Frontier Archaeology, Jilin University, Changchun 130012
2. School of Humanities, Nanyang Technological University, Singapore 639818
3. Ningxia Provincial Institute for Cultural Relics and Archaeology, Yinchuan 750001
4. School of Archaeology, Jilin University, Changchun 130012

Received date: 2020-07-24

Revised date: 2020-08-27

Online published: 2020-11-04

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摘要

本文对出土于宁夏东汉时期的石砚子墓地中一例罕见颅骨病理性损伤个体进行了古病理学诊断分析,该男性个体颅骨上可见不规则形大面积骨质破坏,累及额骨、左侧顶骨、左侧颞骨以及右侧顶骨,缺损周缘可见成骨性、溶骨性反应混合特征,呈向内、外翻卷状,边缘伴有骨膜反应,颅内壁可见较深血管压迹。通过CT影像分析骨骼损伤形态、骨骼损伤区域特征,并结合临床医学资料进行鉴别诊断,排除了朗格汉斯细胞组织细胞增生症、骨血管瘤、Gorham-Stout综合征、骨髓瘤和非特异性感染,推测该病例的病理诊断为甲状腺癌导致的继发性颅骨转移癌。

关键词： 转移癌; 颅骨缺损; CT技术; 石砚子墓地; 汉代

本文引用格式

张群 , 王晓阳 , 叶惠媛 , 张全超 . 宁夏石砚子墓地颅骨缺损个体的古病理学[J]. 人类学学报, 2020 , 39(04) : 586 -598 . DOI: 10.16359/j.cnki.cn11-1963/q.2020.0050

Abstract

This study reports a paleopathological differential diagnosis on the skeleton from Shiyanzi Cemetery site of Han Dynasty(2040 BP) in Ningxia. This specimen shows bone lesion on most part of the calvarium. Margins of lesion demonstrate scalloped borders with osteoblastic marginal uplift. The irregular and inward to outward-like beveled margins shows a possible neoplasm from the inside out. The combination of macroscopic observation and CT scanning provides more comprehensive information about ancient human disease and improves the credibility of diagnosis. According to the previous clinical reports, based on the morphology, distribution of the lesion, this individual may suffered from a severe metastatic carcinoma.

Key words： Metastatic carcinoma; Cranial lesion; CT; Shiyanzi Cemetery; Han Dynasty

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