原发性骨网状细胞肉瘤的临床及X线分析  

Clinical and X-ray Analysis of Primary Reticulosarcoma of Bone

作　　者：余建国[1] 杨宝廉[1] 张东[1] 姚安晋[1] 

机构地区：[1]西安市红十字会医院影像科,陕西西安710054

出　　处：《实用放射学杂志》2006年第12期1493-1495,共3页Journal of Practical Radiology

摘　　要：目的探讨原发性骨网状细胞肉瘤的临床及X线表现,以期提高对本病的诊断和鉴别诊断水平。方法结合临床表现、手术及病理所见回顾性分析经病理证实的11例原发性骨网状细胞肉瘤的X线特点。结果长管状骨5例(45%),椎骨、肋骨及骨盆各2例(各占18%)。主要X线改变为溶骨性破坏,有软组织肿块者7例,病理骨折1例,骨膜反应仅见2例且较轻微。结论当X线发现溶骨性恶性病变伴软组织肿块,且临床症状较其他骨恶性肿瘤为轻者,应考虑原发性骨网状细胞肉瘤的可能,最后确诊有赖于病理学证实。Objective To study the clinical and X - ray findings of primary reticulocytic sarcoma of bone in order to improve its diagno- sis and differential diagnosis . Methods X - ray representations of primary reticulocytic sarcoma of bone in 11 cases proved by operations and pathologies in combination with clinical manifestations were analyzed . Results The tumors located in tubular bone were 5 cases（45% ） , in vertebra,in costa and pelvis were 2 cases respectively. The main X - ray sign was osteolytic lesion. The soft tissue masses were seen in 7 cases and pathologic fracture in 1 case, only 2 cases appeared lightly periosteal reaction. Conclusion When the osteolytic lesions in company with soft tissue mass are showed on X - ray films , but the clinical symptoms of the disease are not as serious as those of other malignant bone tumors, the bone reticulocytic sarcoma should be considered, and the final diagnosis of the disease desponds on pathologic result.

关 键 词：骨 网状细胞肉瘤 X线摄影术 

分 类 号：R738.1[医药卫生—肿瘤] R814.41[医药卫生—临床医学]