骨原发性淋巴瘤临床病理表现  

Clinicopathologic Manifestations of Primary Lymphoma of Bone

作　　者：陈仕高[1] 刘莉[2] 刘都礼[2] 

机构地区：[1]成都铁路分局医院病理科,四川成都610081 [2]成都铁路中心医院病理科,四川成都610081

出　　处：《华西医学》2007年第3期526-527,共2页West China Medical Journal

摘　　要：目的:探讨原发性骨淋巴瘤(PLB)的临床病理特征及鉴别诊断要点。方法:对1例腰椎淋巴瘤患者的临床资料进行回顾性分析,并进行病理组织学和免疫组织化学观察。结果:患者有腰部疼痛,X线检查示腰椎骨质破坏,病理组织学观察为弥漫性非霍奇金淋巴瘤(NH),免疫组织化学染色显示为B细胞性。结论:PLB是一种少见的恶性肿瘤,预后较好,临床及放射学上难与其它骨恶性肿瘤鉴别,需依靠病理组织学检查并结合免疫组织化学区分细胞类型来诊断。Objective： To study the clinicopathologic features and differential diagnosis of primary lymphoma of bone （PLB）. Methods： Clinical data were reviewed, and histopathological and immunohlstochemical changes were observed in 1 case of lymphoma of lumbar vertebrae. Results： This case was ditffuse non - Hodgkin＇s lymphoma （NHL） and exhibited lumbago associated with radiologic appearance of lumbar vertebrae lesions, Immunohistochemical examination revealed B - cell type lymphoma. Conclusion： PLB is a rare malignant tumor with good prognosis, it is difficult to distinguished from other malignant tumor of bone by clinical manifestation and X- ray, confirmed diagnosis must depend on histopathological examination integrate with immunohistochemical one to distinguish types.

关 键 词：骨 淋巴瘤 临床病理 

分 类 号：R738.1[医药卫生—肿瘤]