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《Journal of Fuzhou General Hospital》 2008-03
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Image diagnosis of bone malignant lymphoma

Yan Yong-yan,Pi Hou-shan,Xu Shang-wen,Shi Zhen-shan(The imaging center of Fuzhou General Hospital,Nanjing Command of PLA,Fuzhou Fujian 350025,China)  
Objective:To explore the image diagnosis of bone malignant lymphoma.Method:29 cases verified by operation and pathology were retrospective analyzed. 29 cases were examined by X-ray and CT,17 cases were also checked by MRI.Results:X-ray and CT findings:lesions were osteolytic in 6 cases,infiltrative in 12 cases,selerotic in 3 case and mixed in 8 cases. 14 cases showed huge soft tissue mass growing around with bone and beyond the range of lesions. Contrast-enhancement CT scanning showed the lesions were moderate homogeneous or heterogeneous enhancement. MRI findings:12 cases showed equal or slightly signal intensity on T2WI. Lesions showed significantly heterogeneous enhancement. Conclusion:X-ray examination plays an important role in the diagnosis of bone malignant lymphoma.Its Characteristics are ivory vertebra,multiple level vertebral body and multifocal destruction,osteolytic destruction of long bones,multifocal destruction.Compared with X-ray,CT can more clearly discern the lesions such as destruction of bone,the hardening reaction,periosteal reaction,the invasion of soft tissues.Compared with CT and X-ray,MRI can more clearly identify the lesions such as the early changes of bone mineral content invased by the lymphoma and the early involvement of bone marrow.
【CateGory Index】: R738.1
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