脊柱孤立性浆细胞瘤的临床及影像学分析  

Clinical and Imaging Manifestations of Solitary Plasmacytoma of Spine

作　　者：李广政[1] 茆雯雯 周小飞[1] 江南[1] 

机构地区：[1]苏州大学附属第一医院影像中心,江苏苏州215006

出　　处：《中国血液流变学杂志》2014年第3期461-463,共3页Chinese Journal of Hemorheology

摘　　要：目的：分析脊柱孤立性浆细胞瘤的临床和影像学特点，以提高认识。方法经手术病理或穿刺活检证实的脊柱孤立性浆细胞瘤5例，均行X线检查，4例行CT三维扫描，4例行MRI检查（其中增强扫描3例）。结果全部病例均位于胸椎，影像学上主要表现为不同程度溶骨性骨质破坏、软组织肿块，增强扫描明显均匀强化。结论影像学检查可较为详细地显示脊柱孤立性浆细胞瘤的病变特征，为其诊断及临床诊疗提供帮助。Objective To analyze the clinical and imaging features of solitary plasmacytoma of spine. Methods Five cases of solitary plasmacytoma of spine confirmed by surgery and pathology or puncture biopsy were reviewed. All the cases received X-ray examination, 4 cases underwent three-dimensional CT scan and 4 cases of MRI scan （3 cases with post-enhanced scan）. Results All patients were located in the thoracic spine, displayed as osteolytic bone destruction and/or soft tissue mass, obviously enhanced. Conclusion Imaging methods contribute to the characteristics of solitary plasmacytoma tumor and play important role in the diagnosis and clinical treatment.

关 键 词：脊椎肿瘤 浆细胞瘤 体层摄影术 X线计算机 磁共振成像 

分 类 号：R738.1[医药卫生—肿瘤] R730.44[医药卫生—临床医学]