MSCT对脊柱孤立性浆细胞瘤诊断价值  

The Diagnosis Value of Solitay Plasmacytoma in Spine Using Multi-slice Computed Tomography

作　　者：徐官珍[1] 童成文[1] 兰珊[1] 王琳琳[1] 刘源源[1] 罗小琴[1] 张自力[1] 邹文远[1] 

机构地区：[1]湖北医药学院附属人民医院放射科,湖北十堰442000

出　　处：《CT理论与应用研究（中英文）》2016年第2期183-188,共6页Computerized Tomography Theory and Applications

摘　　要：目的:探讨脊柱孤立性浆细胞瘤的MSCT表现,进一步提高对该病认识。方法:结合文献复习,回顾性分析一例经我院确诊的脊柱孤立性浆细胞瘤患者的临床资料及MSCT图像的特征。结果:脊柱孤立性浆细胞瘤MSCT图像显示椎体骨质破坏区内线状、楔形及不规则形骨嵴残留,椎体终板多发裂隙样碎裂,一侧附件受累,椎体及附件均呈膨胀性改变,病变侵犯周围形成软组织肿块;MSCT能直观显示病灶影像。结论:MSCT能清晰显示脊柱孤立性浆细胞瘤特征性影像学表现,对其具有较高诊断价值。Objective： To discuss appearance of solitay plasmacytoma of spine（SPS） using Multi-slice computed tomography（MSCT） and promote the cognition of this disease. Methods： Combination with literature, one case with pathologically proved SPS and clinical data as well as the image features of MSCT was retrospective reviewed. Results： The imaging features of SPS is that residual crest bone with linear, wedge and irregular-shaped in centrum bone destruction area. This case show fractured vertebral endplate with multiple crack sample and one side accessories involved, vertebral body and accessories display expansion bone destruction, and soft tissue mass adjacent to vertebral body. MSCT can visually display imaging features of SPS lesions. Conclusion： MSCT can clear display imaging features of SPS lesions and higher diagnostic value to SPS.

关 键 词：孤立性浆细胞瘤 MSCT 脊柱 

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