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Imaging finding of primary bone lymphoma |
1. Department of Radiology, Yueqing People’s Hospital of Zhejiang, Yueqing Zhejiang 325600, China;
2. Department of Radiology, Wenzhou People’s Hospital of Zhejiang, Wenzhou Zhejiang 325000, China |
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Abstract Objective: To investigate the imaging characteristics of primary bone lymphoma(PBL). Methods: The X-ray, CT and MRI findings of 26 cases with pathology proven PBL were retrospectively analyzed. Results: Of 26 cases, 14 cases were male and 12 cases were female with a mean age (40.7±5.8) years(range 20 to 73 years). The lesions of PBL were located in the skull(n=7), the femur(n=5), the humerus(n=4), the spine(n=4), the collarbone(n=2), the ilium(n=2), the tibia(n=1), fibula(n=1) in 26 cases. The X-ray and CT findings: dissolved bone type(n=21), hybrid type(n=3), sclerosis type(n=1), cystic type(n=1). Three cases were with the pathological fracture, 3 cases with the slight periosteal reflect, and 21 cases with apparent mass lesion(n=21). MRI findings(n=7): the uniform signal (n=3), the nonuniform signal (n=4); the lesions in isosignal or slightly low signal on T1WI, the slightly high signal on T2WI(n=5), the isosignal(n=2). The enhanced scanning(n=7): the moderate strengthening(n=5), the significantly strengthen(n=1), mild strengthen(n=1). Conclusion: PBL imaging has certain characteristics, the bone destruction often appear in dissolved bone type, give priority to with moderate enhancement, often accompanied by obvious soft tissue mass.
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[1]Delsol G, Campo E, Gascoyne RD. ALK-positive large B-cell lymphoma[M]//Swerdlow SH, Campo Ec Harris NL, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. Lyon: IARC press, 2008: 312-316.
[2]候淑玲,张巧花. 原发性骨淋巴瘤[M]//克晓燕. 淋巴瘤诊疗手册. 北京:人民卫生出版社,2010:327-330.
[3]潘仕文,龚建平,朱江涛,等. 原发性骨淋巴瘤的影像学分析及文献复习(附4例报告)[J]. 中国血液流变学杂志,2013,23(1):169-171.
[4]王营营,邱乾德,肖莉莉,等. 原发性骨淋巴瘤的影像学表现[J]. 医学研究杂志,2012,41(1):133-135.
[5]孙贞魁,孙文萍,郗艳,等. 原发性骨淋巴瘤影像特点[J]. 老年医学与保健,2015,21(1):20-23.
[6]丁洋,王晓萌,高子芬. 原发性骨淋巴瘤的影像学及临床病理特征[J]. 白血病·淋巴瘤,2011,20(6):380-381.
[7]徐维敏,胡碧莹,陈丽君,等. 骨盆原发性恶性肿瘤的影像学临床分析[J]. 医学影像学杂志,2012,22(2):241-245.
[8]陈群林,林征宇,孙辉红. 原发性骨淋巴瘤综合影像学分析[J]. 中国医学影像学杂志,2010,18(4):373-376.
[9]席建平,樊建平,杨宝军. 原发性骨淋巴瘤CT及MRI诊断[J]. 医学影像学杂志,2014,24(1):123-125.
[10]林福海,许尚文,孙建军,等. 骨原发性淋巴瘤影像学特点分析[J]. 临床军医杂志,2010,38(4):625-627.
[11]郑红伟,胡秀荣,祁佩红,等. 骨原发性淋巴瘤的CT、MRI表现[J]. 医学影像学杂志,2014,24(1):111-115.
[12]张信信,刘燕,郝跃文. 原发性脊柱淋巴瘤的MRI特点[J]. 实用放射学杂志,2014,30(12):2027-2028.
[13]胡建平,李银官,曹代荣. 骨原发性淋巴瘤的影像学诊断[J]. 实用放射学杂志,2011,27(4):579-582.
[14]于宝海,刘杰,钟志伟,等. 骨原发性淋巴瘤影像分析[J]. 中华放射学杂志,2011,45(7):653-656.
[15]董影,叶春涛,嵇鸣. 原发性骨淋巴瘤影像学研究进展[J]. 实用癌症杂志,2014,29(2):240-241.
[16]Lim CY, Ong KO. Imaing of musculoskeletal lymphoma[J]. Cancer Imaging, 2013, 13(4): 448-457.
[17]Crro1l G, Breidahl W, Robbins P. Musculoskeletal lymphoma: MRI of bone or soft tissue presematio[J]. J Med Imag Radiat Oncol, 2013, 57(6): 663-673.
[18]Howe BM, Johson GB, Wenger DE. Current concepts in MRI of focal and diffuse malignancy of bone maow[J]. Semin Musculoskelet Radiol, 2013, 17(2): 137-144.
[19]Roug IK, McCartney LB. Metastatic non-Hodgkin lymphoma presenting as low back pain and radiculopatlly: a case report[J]. J Chiropr Med, 2012, 11(3): 202-206. |
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