单发性浆细胞瘤（附七例X线、CT分析）  

X┐rayandCTdiagnosisofsolitaryplasmacytoma(areportof7cases)

作　　者：许健[1] 袁允邦[1] 

机构地区：[1]南京军区南京总医院医学影像科

出　　处：《中华放射学杂志》1996年第2期121-123,共3页Chinese Journal of Radiology

摘　　要：目的：单发性浆细胞瘤是单发性骨髓瘤（ＳＰＢ）和髓外浆细胞瘤（ＥＭＰ）的统称。但其与多发性骨髓瘤（ＭＭ）之间的关系迄今仍未弄清，故需探讨两者的异同。材料和方法：通过Ｘ线和ＣＴ检查观察单发性骨髓瘤４例和髓外浆细胞瘤３例。结果：ＳＰＢ主要表现为单发膨胀性骨破坏，范围较大，边界清楚，ＣＴ显示骨破坏区为软组织肿块所充填。ＥＭＰ主要为局部软组织肿块，邻近骨受侵犯呈囊状骨破坏。结论：Ｘ线，尤其是ＣＴ检查在ＳＰＢ和ＥＭＰ的诊断和鉴别诊断中有着重要作用。Purpose:Solitaryplasmacytomaconsistsofsolitaryplasmacytomaofbone(SPB)andextramedularyplasmacytoma(EMP).Theclinicaldiferencebetweenthesetumorsandmultiplemyeloma(MM)isstilunderdispute.ThisreportatemptstodiscusthediferencesbetweenthesetumorsbyX-rayandCT.MaterialsandMethods:4patientswithSPBand3patientswithEMPwereanalyzed.Results:TheX-rayfeaturesofSPBwerelarge,wel-demarcatedsolitaryexpansileoste-olyticlesion.CTrevealedlesiontobefiledwithsofttissuemass,whileEMPappearedassofttissuemassandinvasionofneighbouringbonewithcysticbonydestrution.Conclusion:TheauthorswereoftheopinionthatX-rayexamination,especialyCT,playedanimportantroleinthediagnosisanddiferentialdiagnosisofthesolitaryplasmacytoma.

关 键 词：浆细胞瘤 放射摄影术 CT 

分 类 号：R730.263[医药卫生—肿瘤]