骨原发性非霍奇金淋巴瘤X线及CT征象分析  

X-ray and CT Diagnosis of Primary Non-Hodgkin Lymphoma of the Bone

作　　者：李立[1] 郭茂凤[1] 张文[1] 

机构地区：[1]苏州大学附属第一医院放射科,江苏215006

出　　处：《放射学实践》2005年第1期62-64,共3页Radiologic Practice

摘　　要：目的 :研究分析骨原发性非霍奇金淋巴瘤的X线及CT征象。方法 :回顾性分析 15例经临床及病理证实的骨原发性非霍奇金淋巴瘤的X线及CT表现。结果 :15例中单发骨灶 13例 ,多发 2例 ;病变位于长骨 9例次 ,扁骨及异形骨 8例次。X线及CT表现为浸润型改变者 8例次、溶骨型 6例次、硬化型 2例次、囊状膨胀型 1例次 ;所有病例可见软组织肿块 ;4例见骨膜反应 ;5例合并病理性骨折。结论 :本病常侵犯单骨 ,多表现为虫蚀样浸润性和溶骨性骨破坏 ,部分病变周边有硬化或有软组织肿块。X线及CT定性诊断困难 ,确诊需结合临床及病理。Objective:To research radiographic and CT signs of primary non-Hodgkin lymphoma of the bone. Methods: Imaging findings of 15 cases with clinically and pathologically proved non-Hodgkin lymphoma were retrospectively analyzed.Results:There was single bone involvement in 13 and multiple involvement in 2 cases.Radiographic and CT findings were:invasive in 8,osteolytic in 6,sclerotic in 2 and cystiform expansion in 1.All cases had soft-tissue mass,4 cases had periosteal reaction,and 5 cases had pathologic fracture.Conclusion:Primary non-Hodgkin lymphoma of the bone usually involve single bone.Moth-eaten,invasive and osteolytic destruction with soft-tissue masses are the most common findings.It is necessary to combine with clinical and pathological data for correct diagnosis.

关 键 词：骨肿瘤 非霍奇金淋巴瘤 放射摄影术 体层摄影术 X线计算机 

分 类 号：R738.1[医药卫生—肿瘤]