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《Clinical Journal of Medical Officers》 2010-04
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Analysis of imaging features of primary lymphoma of bone

Lin Fu-hai1,Xu Shang-wen2,Sun Jian-jun1,Chen Zi-qian2 (1.Department of Radiology,476 Clinical Detachment; 2.Department of Radiology,Fuzhou General Hospital of Nanjing Command,Fuzhou Fujian 350002,China)  
Objective To analyze the imaging features of primary lymphoma of bone (PLB) on X-ray,computerized tomography (CT) and magnetic resonance imaging (MRI) .Methods Eighteen patients with PLB (10 males and 8 females,aged 9-60 years with a median age of 40.6 years) proved by surgery and pathology were enrolled.The 18 ones were all examined by X-ray,of whom 10 underwent CT and 13 underwent MRI.The imaging findings were retrospectively analyzed.Results The site of PLB focus was found in femoral bone in 5 cases,lumbar vertebrae in 4 cases,frontal bone and thoracic vertebrae in 3 cases respectively, cranial bone and tibia in 2 cases respectively,and sacral vertebrae and humeral bone in 1 case respectively.The CT and X-ray features of 4 cases were of infiltrating type,7 cases of osteolytic type,1 case of sclerotic type,5 cases of mixed-type,1 case of cystis degeneration type,3 cases of periosteous reaction,6 cases of pathological fracture,and 16 cases of soft tissue masses.MRI showed slightly hypo-intense or homogeneous signals on T1WI,s1ightly hyper-intense or homogeneous signals on T2WI, and homogeneous or inhomogeneous enhancement.Conclusion (1 ) PLB is lack of characteristic imaging features,so we should combine X-ray,CT and MRI images to observe the lesions.(2) It is very difficult to differentiate PLB from other malignant tumors of bone.But slight clinical symptoms of the whole body,small invasion or osteolysis with large soft tissue mass,slight periosteous reaction strongly imply the diagnosis of PLB.
【CateGory Index】: R738.1
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【Citations】
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